NPI | 1417108184 |
---|---|
Doing Business As | MAR-LAC PHARMACY DISCOUNT & SUPPLY |
Entity Type | Organization |
Authorized Contact | ERNESTO DIAZ President 305-631-6602 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL ph23601) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2008-09-30 |
Last Update Date | 2017-08-15 |