| NPI | 1639223076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA DEROBERTIS Collection Department Super 954-272-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH20057) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |