| NPI | 1700076262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS ALFONSO-SERRANO Pharmacy Owner/ Manager On Record 305-586-6443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2010-11-10 |