| NPI | 1730261033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS M. BASULTO President 305-599-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH19462) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |