| NPI | 1619278934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUNO KEKE President 407-674-7953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH24979) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2021-05-26 |