| NPI | 1568936961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALINA BRAVO CANTURIA CEO/Pharmacist In Charge 442-286-7127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |