| NPI | 1477647881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUZAFFAR CHOUDHRY Secretary 772-240-6425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH22243) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |