| NPI | 1801840079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMERSON CARMONA President 305-666-8711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH19714) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: FL PH 23154) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2009-06-11 |