| NPI | 1245272152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVADOR LOPEZ Owner 787-879-5058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 4015536) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |