| NPI | 1740624261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERINE BAHNA Owner 561-602-5383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE009949) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2018-07-19 |