NPI | 1831443811 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE FOWLER COO 561-472-9990 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL 602741) |
Enumeration Date | 2012-10-30 |
Last Update Date | 2013-01-24 |