| NPI | 1588788335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL FUENTES Pharmacist Owner 787-761-0210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 07-F-0765) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |