| NPI | 1669778361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN JOHN TIBERIO President 561-395-8663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25200) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: FL PH25200) |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: FL PH25200) | |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |