| NPI | 1790879112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN MODESTO MENDEZ President 305-646-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH21819) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |