| NPI | 1457168668 |
|---|---|
| Doing Business As | PROMODRX |
| Entity Type | Organization |
| Authorized Contact | ANA VICTORIA MOLINA Clinical Pharmacy Manager 321-319-4096 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2025-02-04 |