| NPI | 1487434262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MODUPE IROROBEJE Pharmacist 954-663-1759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2023-09-29 |