| NPI | 1942584271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS AVILA President/Owner 786-547-8219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25620) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2014-04-09 |