| NPI | 1912086687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS DILDINE President, PIC 561-272-2124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH6174) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-11-24 |