| NPI | 1740268549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIAN CHANDLER Vice President Of Operations And Bu 561-793-1568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: FL PH26249) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2012-10-19 |