| NPI | 1487199394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELIER YOUSSEF Owner 321-262-5938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH30420) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-12-31 |
| Last Update Date | 2017-01-19 |