| NPI | 1629158829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA MAGADALENA GONZALEZ Owner / President 305-223-4841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH14292) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2024-01-25 |