| NPI | 1962873646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIROSIS GONZALEZ Owner 954-451-5578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH29522) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2020-04-23 |