| NPI | 1598115958 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | NIRMIN NASR Manager 321-514-4694 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH30214) | 
| Enumeration Date | 2016-06-16 | 
| Last Update Date | 2016-06-17 |