| NPI | 1952740276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE PETERSON Managing Employee 561-544-7533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHHH000056) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2018-08-28 |