| NPI | 1881663623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA CASTRO Manager 305-445-2886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2020-08-22 |