# FARMACIA SAN PABLO SAN PEDRO INC.

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

## Provider details

- **NPI number:** 1104234467
- **Authorized official:** MR. ERASMO ASENCIO (PRESIDENT)
- **Authorized official phone:** (787) 475-5121

## Contact information

- **Practice address:** 152 UNION AVE., LAJAS, PR 00667
- **Practice address phone:** (787) 475-5121
- **Mailing address:** PO BOX 109, LAJAS, PR 00667-0109
- **Mailing address phone:** (787) 475-5121

## Taxonomy

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

## Other

- **Enumeration date:** 07/30/2014
- **Last updated:** 07/30/2014