# NOVA INFUSION & COMPOUNDING PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NOVA INFUSION & COMPOUNDING PHARMACY
- **Other names:** Cepa Humacao
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265693345
- **Legal business name:** NOVA INFUSION & COMPOUNDING PHARMACY
- **Authorized official:** MR. MILTON EZEQUIEL SEGARRA (PRESIDENT)
- **Authorized official phone:** (787) 720-1000

## Contact information

- **Practice address:** 3 CALLE FONT MARTELO E, HUMACAO, PR 00791-3617
- **Practice address phone:** (787) 300-2874
- **Practice address fax:** (787) 653-3535
- **Mailing address:** PO BOX 3968, GUAYNABO, PR 00970-3968
- **Mailing address phone:** (787) 720-1000
- **Mailing address fax:** (787) 653-3535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/20/2008
- **Last updated:** 06/20/2008