| NPI | 1457430696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENNIE V. LOPEZ Manager 787-743-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PR 07-F-0259) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |