| NPI | 1639060312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL E RIVERA Pharmacy Manager 787-400-1588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-07-11 |
| Last Update Date | 2025-08-12 |