| NPI | 1962574723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELEANOR LANSER Executive Director 305-531-5341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL ph10854) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH10854) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2023-03-07 |