| NPI | 1518636067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINAMARY NEGRON TALAVERA Pharmacist In Charge 787-200-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2025-10-23 |