| NPI | 1982615522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOT PACHECO BEAUCHAMP CEO 787-738-5343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 18F2690) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2018-01-30 |