| NPI | 1548572092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIE GRESS Owner 305-974-4510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL ph24730) |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: FL PH24730) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PH24730) | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2011-08-10 |