| NPI | 1982022620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERINE BAHNA Pharmacy Manager 561-602-5383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2014-08-07 |