| NPI | 1942966361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA BERT Interim CFO 954-847-4117 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2024-04-01 |