| NPI | 1942361761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE FUENTES Treasurer 305-448-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH0006833) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |