| NPI | 1851438527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUKESH AMIN President 386-774-7933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH10785) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2016-09-26 |