| NPI | 1528595568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY IVELISSE BADILLO Administrator 787-390-6041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |