| NPI | 1538754916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALANTINA B MORANCY-CALDERON President/Owner 561-319-5634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 305S00000X Point of Service |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336M0003X Pharmacy, Managed Care Organization Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 335G00000X Medical Foods Supplier | |
| Enumeration Date | 2021-03-07 |
| Last Update Date | 2021-03-07 |