| NPI | 1841217890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIRENA A BLANCO Administrator 305-631-1031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH21856) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-08-22 |