| NPI | 1902352958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARPANA SHIVDASANI Physicians Assistant 561-562-0674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PA9108944) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |