| NPI | 1902142144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YADIRA GARCIA Pharmacist In Charge 954-634-4746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL ph26209) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |