| NPI | 1265211007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISMAEL RENTA President 787-218-0819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332100000X Department of Veterans Affairs (VA) Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-09-22 |