| NPI | 1598762015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GEORGE RAFFALO C.O.O. 954-284-2384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AK 106493) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: DC NRX0000870) |
| 333600000X Pharmacy (Licence: IL 054.016610) | |
| 333600000X Pharmacy (Licence: DE A9-0001012) | |
| 333600000X Pharmacy (Licence: IA 3817) | |
| 333600000X Pharmacy (Licence: FL PH21660) | |
| 333600000X Pharmacy (Licence: IN 64000929A) | |
| 333600000X Pharmacy (Licence: GA PHNR000479) | |
| 333600000X Pharmacy (Licence: CT 897) | |
| 333600000X Pharmacy (Licence: KS 22-44984) | |
| 333600000X Pharmacy (Licence: HI PMP591) | |
| 333600000X Pharmacy (Licence: CO 5788) | |
| 333600000X Pharmacy (Licence: AZ Y005081) | |
| 333600000X Pharmacy (Licence: CA NRP1817) | |
| 333600000X Pharmacy (Licence: ID 2293MS) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2022-07-21 |