| NPI | 1528395639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIDA SOSA Owner 787-762-5820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PR 11F2770) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2009-12-15 |