# FARMACIA HOSPITAL AUXILIO MUTUO

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

## Provider details

- **NPI number:** 1366570574
- **Authorized official:** ILIA MELENDEZ (MANAGER)
- **Authorized official phone:** (787) 758-2000

## Contact information

- **Practice address:** AVE. PONCE DE LEON 715 PDA. 37.5, HATO REY, PR 00919
- **Practice address phone:** (787) 758-2000
- **Mailing address:** PO BOX 191227, SAN JUAN, PR 00919-1227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07F0327 | PR | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 08/22/2020