| NPI | 1952619033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRMAYUN HIDALGO HERNANDEZ President 305-545-2108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25045) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: FL PH25045) |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2021-07-12 |