| NPI | 1801476007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LENO President 786-298-7379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 2472R0900X Technician, Other, Renal Dialysis | |
| 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2023-07-07 |