| NPI | 1962594515 |
|---|---|
| Doing Business As | PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JORGE L CORREA VP 305-362-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS15912) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2013-11-18 |