| NPI | 1457131450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BONANNO Owner 954-432-8290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-05 |