| NPI | 1962806729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUSLEIVY REYES RAMON Owner/Pharmacy Technician 786-360-4059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH28648) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |