| NPI | 1376837120 |
|---|---|
| Doing Business As | JENCARE RX SHOCKOE BOTTOM |
| Entity Type | Organization |
| Authorized Contact | MARY CHEN Administrator 305-621-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |