| NPI | 1962598581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NUBIA R ORTEGA Pharmacy Manager 305-649-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH0010900) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |