| NPI | 1558597211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JAY RUBIN President 561-784-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: FL PH24074) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2009-06-08 |