| NPI | 1417174293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AILEEN L DEL VALLE Pharmacy Manager 787-256-0069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 07-F-1579) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |