| NPI | 1376831826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA LEAHY Director Client Services 954-914-3041 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |