| NPI | 1609474089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE ACOSTA Director Of Pharmacy 305-631-4427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |