| NPI | 1790216950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA GRILLO GINIEBRA President 786-212-1315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH30790) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2020-04-15 |