| NPI | 1982653523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D GILLIS Pharmacist, President 954-874-4646 |
| Organization Subpart ? | |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: FL PH13376) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PH13376) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2017-12-05 |