| NPI | 1770625683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASCANIO SERNA President 305-698-5411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH22490) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy (Licence: FL PH22490) |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: FL PH22490) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2023-03-07 |