| NPI | 1790463560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVETTE LAMAS Pharmacist/Pharmacist In Charge 954-836-8336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-09-14 |