| NPI | 1336373273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL ANGEL HERNANDEZ Owner 939-717-4634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 11-f-2721) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-06 |