| NPI | 1780094847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMARQUETTE D. KENT President & CEO 305-463-6600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL ME104117) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |