| NPI | 1720178965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIXMA IVELDA RODRIGUEZ Owner/Pharmacist 787-856-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PR 1149790001) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-12-01 |