| NPI | 1548288087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE LACKNAUTH Corporate Director Of Pharmacy Serv 954-355-5559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH20059) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2019-06-21 |