| NPI | 1295936037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE RIOS FLORAN Owner 939-334-9338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: PR 2552-11) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2012-11-28 |