| NPI | 1629132782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERMIT SCHMIDT Pharmacist In Charge 787-845-6695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PR 07F1778) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2009-12-18 |