| NPI | 1992862726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONI D SLOBODSKOY President/Owner 305-884-0703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL Ph 11667) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2019-04-17 |