| NPI | 1871864975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO RIVERA MONTESINO President/Owner 786-433-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL ph25843) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-10-23 |