| NPI | 1790194462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIBIA M GUTIERREZ Owner 786-534-4451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH28681) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2015-02-23 |