| NPI | 1316081821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA M AYALA President 787-856-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 07F1398) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |