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Organization
PANCHO BLU LLC DBA FARMACIAS ALIADAS GURABO
Active
Organization
PANCHO BLU LLC DBA FARMACIAS ALIADAS GURABO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD SAEZ (PRESIDENT)
(787) 736-7100
Entity
Organization
Contact information
Practice address
RD 189 RALPH'S PLAZA, SUITE 6, GURABO, PR 00778
(787) 736-7100
(787) 736-0300
Mailing address
STREET 4 #150 URB EL PARQUE, SAN LORENZO, PR 00754
(787) 736-7100
(787) 736-0300
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
15F3115
PR
3336S0011X
Specialty Pharmacy
15F3115
PR
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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