| NPI | 1700961679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE SANDALIO RIVERA Owner 787-839-3980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 07-F-2194) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-09-28 |