| NPI | 1629387642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODELVYS DIAZ Manager 407-690-0537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH24990) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2010-11-16 |