| NPI | 1376825315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ULECIA D BOLDIN Pharmacist 772-335-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PS48022) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2012-07-28 |