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 |