# DLR CONDADO PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DLR Condado Pharmacy, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073816427
- **Authorized official:** MANUEL DE LEON (TREASURER)
- **Authorized official phone:** (787) 758-0138

## Contact information

- **Practice address:** 186 CALLE JUAN P DUARTE, HATO REY, SAN JUAN, PR 00917-3602
- **Practice address phone:** (787) 758-0168
- **Practice address fax:** (787) 753-5906
- **Mailing address:** PO BOX 195417, SAN JUAN, PR 00919-5417
- **Mailing address phone:** (787) 758-0168
- **Mailing address fax:** (787) 753-5906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 15F2783 | PR | Yes |

## Other

- **Enumeration date:** 12/07/2010
- **Last updated:** 05/22/2014