| NPI | 1558639385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINA GONZALEZ President 786-362-6390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL 25820) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2013-03-11 |