| NPI | 1821366055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MENA BISHARA AWAD Owner 305-374-7072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25747) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2018-06-14 |