| NPI | 1639474489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADDAD HADDAD Manager, AO 888-389-2014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy Mail Order Pharmacy (Licence: FL PH25249) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2018-07-19 |