| NPI | 1366906257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON SMITH Pharmacist In Charge 305-527-9648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |