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 |