| NPI | 1376800367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIER GONZALEZ MARTINEZ President/ Owner 239-288-7450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH26151) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2016-09-15 |