NPI | 1720503824 |
---|---|
Doing Business As | MEDLAB PHARMACY |
Entity Type | Organization |
Authorized Contact | LATOYA GAYLE Pharmacist 954-400-0560 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH30893) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2017-08-09 |
Last Update Date | 2019-12-23 |