| NPI | 1912413741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROURKE SMITH Owner 954-625-2773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2019-03-20 |