| NPI | 1568758449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY LOPEZ VP, Support Services 305-500-2108 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL ME33074) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-10-27 |