| NPI | 1881770139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIADES PENA ALCOLEA Owner President 305-863-7211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PH20954) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH 20954) |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2008-03-06 |