| NPI | 1568563997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIRO RAGA President 305-512-0941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL ph 23201) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2009-09-02 |