| NPI | 1184740037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN PABON Dba 787-844-3650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 07F0111) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-07-25 |