| NPI | 1467714840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIONIS PENA-ANDERSON Owner 786-246-9723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH26185) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |