| NPI | 1659793859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BONANNO Owner 954-383-2358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: FL PH 27309) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2025-01-28 |