| NPI | 1902275837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY BOLLER JOHNSON CEO/President 954-294-5973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS25698) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-12-07 |