| NPI | 1821425190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA PAVLOU Data Management Specialist 305-500-2017 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL OS4464) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |