| NPI | 1790771236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISOL CEPERO SOSA President 305-696-3250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH23528) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: FL 1964) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2008-09-25 |