| NPI | 1164959821 |
|---|---|
| Doing Business As | SANTIAGO PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JUAN POVEDA President 929-254-9946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 035435) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2022-06-23 |