| NPI | 1922701135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY JOASH MAYSONET FONSECA Pharmacist In Charge 787-765-2929 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-03-28 |