| NPI | 1942210059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAM DOMINGUEZ Pharmacist 787-873-1480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 07F2067) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-02-26 |