| NPI | 1881605426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE REBELO Owner 407-977-3622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH21497) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |