| NPI | 1972592889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT STORY Rpa 561-996-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH6551) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2011-08-18 |