# NSG SERVICIOS FARMACEUTICOS, LLC

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

## Provider details

- **NPI number:** 1265599484
- **Authorized official:** NURI ECHEVERRIA PHARMD, CDE (CLINICAL AND CHIEF PHARMACIST)
- **Authorized official phone:** (787) 736-2771

## Contact information

- **Practice address:** 106 CALLE MUNOZ RIVERA S, SAN LORENZO, PR 00754-3925
- **Practice address phone:** (787) 736-2771
- **Practice address fax:** (787) 736-7101
- **Mailing address:** 106 CALLE MUNOZ RIVERA S, SAN LORENZO, PR 00754-3925
- **Mailing address phone:** (787) 736-2771
- **Mailing address fax:** (787) 736-7101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 15-F-2958 | PR | — |
| 3336C0003X | Community/Retail Pharmacy | 15-F-2958 | PR | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 01/07/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1280790001 | MEDICARE IDENTIFICATION NUMBER | PR |
| 01 | — | 4007387 | NCPDP NUMBER | PR |