| NPI | 1033598206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVIS E RIVERA Owner 787-693-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 17F3288) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |