| NPI | 1528115813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CEPERO President 786-300-5887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH22454) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336I0012X Pharmacy Institutional Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2018-07-19 |