| NPI | 1619215290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CLYCE Pharmacy Manager 954-557-3319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL 3336C0003x) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |