| NPI | 1750198826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN CARLOS RAMOS RONDON Owner / General Manager 929-499-7406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-12 |