| NPI | 1528299120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ANTONIO President 954-917-6813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH24183) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2016-09-16 |