| NPI | 1659820447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVILLE BADWAY Managing Member 561-781-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH30726) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2020-08-18 |