NPI | 1427096809 |
---|---|
Entity Type | Organization |
Authorized Contact | TOKUNBO NIKE KASSIM Dir, Pharmacist In Charge 959-299-3008 |
Organization Subpart ? | No |
Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: FL PH21465) |
Additional Taxonomies | 333600000X Pharmacy (Licence: FL PH21465) |
Enumeration Date | 2006-06-04 |
Last Update Date | 2019-03-01 |