| NPI | 1760855050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER LOPEZ President 954-532-1859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH29498) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2016-04-14 |