| NPI | 1164897757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGEN Y GONZALEZ Pharmacist/Owner 787-280-3811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2016-08-02 |