NPI | 1891091914 |
---|---|
Entity Type | Organization |
Authorized Contact | JOAN POLANCO Owner 305-551-3040 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH24894) |
Enumeration Date | 2011-02-07 |
Last Update Date | 2011-02-07 |