| NPI | 1164421822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH MARK Executive Director 787-723-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 251E00000X Home Health (Licence: PR 69) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| 333600000X Pharmacy (Licence: PR 18-F-3367) | |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2025-07-24 |