| NPI | 1952419657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE R MORALES President 305-362-5771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH 23099) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2008-02-04 |