| Organization Name: | GOOD SHEPHERD PHARMACY DBA MEDS DIRECT RX INC |
| NPI Number: | 1063892032 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MIGUEL A FIGUEROA (PRESIDENT) |
| Mailing Address: | Carr 459 Km 0.5 Lote 2 Calle Gregorio Sanders La Montana Industrial Park Aguadilla |
| State: | PR US |
| Postal Code: | 00605 |
| Phone Number: | 7873355400 |
| Fax Number: | |
| NPI Enumeration Date: | 06/04/2015 |
| NPI Last Update Date: | 06/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0004X |
| License Number: | 17-F-3299 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Compounding Pharmacy |
| Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |