| NPI | 1629320825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P GARCIA Administrator 305-549-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: FL PH26403) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2019-04-19 |