| NPI | 1861933004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANSEL GONZALEZ Pharm.D. 305-798-8211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH30705) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-04-10 |