| NPI | 1437561719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANA ALVAREZ Office Manager 954-442-6090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL ME66805) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |