| NPI | 1568882363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRIYA CHANDRADAT CEO 561-694-7776 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL OS5301) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2022-08-26 |