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Organization
FARMACIA SAN RAFAEL SANTURCE, INC.
Active
Organization
FARMACIA SAN RAFAEL SANTURCE, INC.
Active
Other names
San Rafael Specialty
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL DIAZ REYES (PRESIDENT)
(787) 724-3307
Entity
Organization
Contact information
Practice address
851 CALLE LAFAYETTE, SAN JUAN, PR 00909-2627
(787) 724-3307
(787) 919-7058
Mailing address
PO BOX 19791, SAN JUAN, PR 00910-1791
(787) 724-3307
(787) 919-7058
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
17-F-2298
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144222
PK
—
Enumeration date
02/12/2014
Last updated
04/19/2022
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