| NPI | 1619320132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY KLEIN President 561-699-0908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IL 054019612) | |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2018-09-25 |