| NPI | 1992731632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEGUNDO ORTIZ Pharmacist/Owner 787-782-8747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: PR 07F0728) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2020-08-22 |