| NPI | 1407138241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN D LUGO Pharmacist In Charge 787-816-0012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-09-19 |