# HOSPITAL DE LA CONCEPCION FARMACIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023232055
- **Authorized official:** MR. GUSTAVO A ALMODOVAR MBA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (787) 892-1860

## Contact information

- **Practice address:** ROAD \# 2 KM 173.4, BO CAIN BAJO, SAN GERMAN, PR 00683
- **Practice address phone:** (787) 892-1860
- **Practice address fax:** (787) 264-7930
- **Mailing address:** PO BOX 285, SAN GERMAN, PR 00683-0285
- **Mailing address phone:** (787) 892-1860
- **Mailing address fax:** (787) 264-7908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07F2170 | PR | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4018289 | NABP NUMBER | PR |