| NPI | 1699537654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISHA SILVA Director Of Credentialing 561-432-5849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-25 |