| NPI | 1053512764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL E PENA Owner 787-737-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 09F2517) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2024-10-10 |