| NPI | 1225195332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON CAMACHO Owner 787-424-3913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PR 17-F-2948) |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2018-10-19 |