| NPI | 1871518365 |
|---|---|
| Doing Business As | HUMANA PHARMACY 47905 |
| Entity Type | Organization |
| Authorized Contact | NILSA AVERHOFF Manager 305-270-2766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: FL PH11268) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |