| NPI | 1548401144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISOL SANTIAGO President, PIC 787-202-7816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PR 17F2757) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2022-11-03 |