| NPI | 1780724740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA GONZALEZ Pharmacist 787-872-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 07-F-1766) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2010-10-29 |