| NPI | 1417195314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY LOPEZ VP, Support Services 305-500-2108 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL ME92964) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |