| NPI | 1467859140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMED E ABOUZEID Pharmacist In Charge (PIC) 239-800-2419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH27788) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2015-04-16 |