| 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 |