| NPI | 1104512375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS ALEXIS MARRERO NIEVES President 787-414-0073 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |