| NPI | 1639479512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA SUHANOV President 954-306-6306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH 24964) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-27 |