| NPI | 1871533638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAM M VALLE Pharmacist Owner 787-785-2458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 07-F-1655) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 3871850001) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-22 |