| NPI | 1366750473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FABIAN ONWUANA IGWE Pharmacist 786-301-4563 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH24905) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-09-30 |