| NPI | 1275682031 |
|---|---|
| Former Legal Business Name | SUPER FARMACIA VANGA, INC. |
| Entity Type | Organization |
| Authorized Contact | PEDRO JULIO VANGA President 787-751-0565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 16-F-3201) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2014-10-10 |