| NPI | 1962123778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE L HERNANDEZ LARA President 305-646-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2022-12-09 |