| NPI | 1699113902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREPHENE BROWN Owner 561-283-1243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26972) |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: FL PH26972) |
| Enumeration Date | 2013-06-08 |
| Last Update Date | 2013-07-30 |