| NPI | 1376546929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN GOODMANSON Owner/Chief Pharmacist 561-736-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PH0007708) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2010-06-10 |