| NPI | 1497152425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGGEE CARRILLO President 305-225-0280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH 28712) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |