| NPI | 1821538505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH CARPENTER Executive Vice President 954-265-2295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy (Licence: FL PH30652) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH30652) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2021-10-12 |