| NPI | 1588422307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M MCMAHON Pharmacy Manager 954-415-1434 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |