# DAMAR OF PUERTO RICO SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farmacia CDT Dr Jose A. Lopez Antongiorgi
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215331418
- **Authorized official:** ALLAN CAO (ADMINISTRATOR)
- **Authorized official phone:** (786) 547-3240

## Contact information

- **Practice address:** 333 CALLE 25 NE, URB PUERTO NUEVO, SAN JUAN, PR 00920-2531
- **Practice address phone:** (787) 775-7773
- **Practice address fax:** (787) 775-7773
- **Mailing address:** PO BOX 25130, SAN JUAN, PR 00928-5130
- **Mailing address phone:** (787) 775-7773
- **Mailing address fax:** (787) 775-7773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 17-F-3159 | PR | Yes |

## Other

- **Enumeration date:** 10/16/2014
- **Last updated:** 08/30/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2149779 | PK | — |