| NPI | 1811099278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRWIN GOTTLIEB Pharmacy Manager 954-985-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL 0012644) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2023-03-15 |