| NPI | 1700139003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WILSON President 561-964-7614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH23129) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |