| NPI | 1669757167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENECHIA SMITH Pharmacy Manager 305-685-9970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: FL 0034556) |
| Enumeration Date | 2011-10-15 |
| Last Update Date | 2011-10-15 |