| NPI | 1225367162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE L REYES Owner 787-798-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 2979) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2016-02-02 |