NPI | 1881094712 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSEMARY MEDINA President/Manager 407-748-0140 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH28259) |
Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
Enumeration Date | 2014-08-28 |
Last Update Date | 2014-08-28 |