| NPI | 1609267871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILFRED BRACERAS Owner 305-863-8860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH27962) |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: FL PH12474) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2021-01-21 |