| NPI | 1013052307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR EDGARDO DE JESUS Owner 787-870-0993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 07-F-0279) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |