| NPI | 1942522180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA GRIMBERG Owner 954-454-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL ph24459) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2019-10-18 |