| NPI | 1477833994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARELIS DE LOS ANGELES HERNANDEZ President 306-961-1160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH25615) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |