| NPI | 1649490343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAVIAEL GONZALEZ Owner 787-752-9644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 09-f1979) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |