| NPI | 1699801845 |
|---|---|
| Doing Business As | 40TH STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LOURDES DEL CARMEN PEREZ Treasurer 305-554-0438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH0012004) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2023-07-28 |