| NPI | 1396015301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSITA EZENWA President 954-993-5066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL 25887) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2021-05-10 |