| NPI | 1710303649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJENDRA P GUPTA Owner 954-563-8311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH27632) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-06-26 |