| NPI | 1912289547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS J ALFONSO Clinical Pharmacy Director 305-884-7455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH25619) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-09-09 |