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Organization
BIENESTAR PHARMACY GROUP
Active
Organization
BIENESTAR PHARMACY GROUP
Active
Parent organization
BIENESTAR PHARMACY GROUP
Other names
NEW LYFE PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
BIENESTAR PHARMACY GROUP
Authorized official
DR. JOSE RAMON RODRIGUEZ-DIAZ MD, MPH (CEO)
(939) 545-0522
Entity
Organization
Contact information
Practice address
CARR 718, KM. 1.1, BO PASTO, AIBONITO, PR 00705
(787) 303-0799
(787) 333-6188
Mailing address
165 CALLE BALDRIOTY NORTE, BUZON #2, AIBONITO, PR 00705
(939) 545-0522
(939) 545-0700
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MG909
MEDICARE
—
Enumeration date
03/01/2022
Last updated
03/01/2022
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