| NPI | 1770818106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDY DUBRAVETZ President 321-268-8667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH24176) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2009-10-02 |