| NPI | 1497847941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN J. MCQUADE President 954-797-5041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy (Licence: FL PH17305) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH17305) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: FL PH17305) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |