| NPI | 1578927166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA QUINONEZ Owner, Manager, PIC, AO 561-997-4424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH30284) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2024-09-24 |