| NPI | 1447849237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA FAAST Owner Assistant 561-379-7750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2021-05-05 |