| NPI | 1811269574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL MARY JOHN President 754-201-3663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25875) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |