| NPI | 1114680618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENERIS MARIE MEDINA Compliance Officer 787-843-9393 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2021-10-21 |