| NPI | 1508115890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMGAD ESTAFAN Manager 321-888-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26329) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2012-09-03 |
| Last Update Date | 2024-06-17 |