| NPI | 1487166153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY DUBE CEO 754-529-8353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH30989) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |