| NPI | 1255456430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNICE ORTIZ Pharmacist 787-899-1693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 19F3153) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2018-04-19 |