| NPI | 1083951966 |
|---|---|
| Doing Business As | FARMACIA LA 100 |
| Entity Type | Organization |
| Authorized Contact | IVELISSE CINTRON Owner/Rph/I/C 939-910-7910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PR 14F3077) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2013-01-31 |