| NPI | 1396157897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA GONGORA President 786-797-4943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH28182) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2015-02-13 |