| NPI | 1205168853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DE LOS ANGELES PAGAN LUGO Owner 787-895-0914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 11-F-2777) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |