NPI | 1689757726 |
---|---|
Doing Business As | MORTAR & PESTLE THE BOUTIQUE PHARMACY |
Entity Type | Organization |
Authorized Contact | MERCEDES SILVA PIC 305-775-9021 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH22625) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2006-10-23 |
Last Update Date | 2012-08-08 |