NPI | 1417553850 |
---|---|
Doing Business As | SAN PEDRO CLAVER PHARMACY INC. |
Entity Type | Organization |
Authorized Contact | ENIS DE JESUS MEZA-RODRIGUEZ President 718-510-7985 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2020-12-10 |
Last Update Date | 2022-09-08 |