| NPI | 1699186353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE BALAREZO Owner 954-871-7633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH28149) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |