| NPI | 1205919792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETANISLAO RIVERA President 787-857-0775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PR 07-F-0066) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2025-03-29 |