| 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 |