| NPI | 1578840823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE LAZARO BANOS President 786-332-2473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25771) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |