| NPI | 1477914109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINA LIVA Managing Member 754-227-7252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL 25641) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |