| NPI | 1881997146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRILL VESSELOV Vice President 561-432-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH24946) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |