| NPI | 1578919767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALED ELHAGE Purchase Manager 786-610-8781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 332100000X Department of Veterans Affairs (VA) Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-07-27 |