| NPI | 1750459020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHUONG THI NGOC NGUYEN President 407-896-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH 15472) |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2020-08-22 |