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 |