| NPI | 1467926717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVIN MONTANEZ COO 407-830-8820 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 333600000X Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2022-08-19 |