| NPI | 1992123574 |
|---|---|
| Other Name | PUEBLO PHARMACY #984 |
| Doing Business As | PUEBLO PHARMACY 984 |
| Entity Type | Organization |
| Authorized Contact | LUIS M MALDONADO-PENA VP Finances 787-757-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PR 16F3186) |
| 1835G0303X Pharmacist, Geriatric (Licence: PR 16F3186) | |
| 1835N1003X Pharmacist, Nutrition Support (Licence: PR 16F3186) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: PR 16F3186) | |
| 1835P1300X Pharmacist, Psychiatric (Licence: PR 16F3186) | |
| 183700000X Pharmacy Technician (Licence: PR 16F3186) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2025-08-19 |