# FARMACIA CONDADO MODERNO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336373273
- **Authorized official:** MR. MIGUEL ANGEL HERNANDEZ (OWNER)
- **Authorized official phone:** (939) 717-4634

## Contact information

- **Practice address:** URB CONDADO MODERNO, C 18 M21, CAGUAS, PR 00725
- **Practice address phone:** (787) 961-6770
- **Mailing address:** CIUDAD JARDIN VILLAS DE GOLF 9, GURABO, PR 00778
- **Mailing address phone:** (939) 717-4634

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 11-F-2721 | PR | Yes |

## Other

- **Enumeration date:** 05/06/2009
- **Last updated:** 05/06/2009