| NPI | 1982452264 |
|---|---|
| Former Legal Business Name | XCELLENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AYMED GONZALEZ President 305-229-1496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-05-10 |