| NPI | 1962082834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARICRUZ NIEVES Director Of Billing & Managed Care 407-905-8827 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2024-08-12 |