| NPI | 1720185655 |
|---|---|
| Former Legal Business Name | FARMACIA EL DIVINO NINO LLC |
| Entity Type | Organization |
| Authorized Contact | XOCHITL RIVERA Pharmacist/Owner 787-818-4839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 17-F-2289) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-12-23 |