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Organization
GONZALEZ NEGRIN CORP
Active
Organization
GONZALEZ NEGRIN CORP
Active
Other names
Farmacia Santa Isidra
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD NEGRIN (CO-OWNER)
(787) 461-9332
Entity
Organization
Contact information
Practice address
CALLE UNION 1 ESQ SANTA ISIDRA, FAJARDO, PR 00738-4758
(787) 863-2070
(787) 860-6111
Mailing address
CALLE UNION 1 ESQ URB SANTA ISIDRA, FAJARDO, PR 00738-4758
(787) 863-2070
(787) 860-6111
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
17F2752
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123326
PK
—
Enumeration date
04/13/2007
Last updated
03/18/2016
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