| NPI | 1770628455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS E. MALAVE Administrator 787-270-0593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 07-F-1347) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-08-11 |