| NPI | 1588713465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL E DODGEN Owner 305-888-5259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH20937) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |