# FAMILIA CORTES-LEBRON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farmacia San Pedro
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154831469
- **Authorized official:** MARISOL LEBRON PHARMD (VICE-PRESIDENT)
- **Authorized official phone:** (787) 923-7178

## Contact information

- **Practice address:** CARR 121 KM 13.3, SECTOR CUATRO CALLES, BO. SUSUA BAJA, YAUCO, PR 00698
- **Practice address phone:** (787) 987-8036
- **Practice address fax:** (787) 987-8234
- **Mailing address:** 1100 CARR 116 STE 1, YAUCO, PR 00698-4693
- **Mailing address phone:** (787) 987-8036
- **Mailing address fax:** (787) 987-8234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 19F3512 | PR | Yes |

## Other

- **Enumeration date:** 10/02/2017
- **Last updated:** 05/23/2024