| NPI | 1497202816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVIN MONTANEZ Chief Operations Officer 407-830-8820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO PDO1680000131) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2017-03-16 |