| NPI | 1982089868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELA M ENGELS Owner/Mgr 754-234-3177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH28624) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |