| NPI | 1790757508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERDEN RABIEIFAR President/Pharmacist 561-876-4043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2015-06-01 |