| NPI | 1548650088 |
|---|---|
| Doing Business As | CLOVER PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | MIGUEL RAVELO Owner 772-206-5054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH28830) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |