| NPI | 1467472704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDO R BASTER President 305-408-7290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH21401) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 030949401) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PH21401) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-08-11 |