| NPI | 1043620123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LEE GONZALEZ Pharmacy Technician 787-365-8662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |