| NPI | 1598922049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY K BRESIN Consultant Pharmacist 561-477-1305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PU5962) |
| Additional Taxonomies | 3336M0003X Pharmacy, Managed Care Organization Pharmacy (Licence: FL PU5962) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |