| NPI | 1407997984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVELISSE CINTRON CHINEA Owner 787-851-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: PR 17F3000) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2017-01-18 |