NPI | 1497184790 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER JAMES CHEN Owner 305-628-6117 |
Organization Subpart ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: FL ME88821) |
Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2013-11-06 |
Last Update Date | 2013-11-19 |