# SAN PEDRO PHARMACY CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** San Pedro Pharmacy Corp.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427092733
- **Authorized official:** BRENDA RIVERA (PRESIDENT)
- **Authorized official phone:** (787) 404-7655

## Contact information

- **Practice address:** 7 CALLE MUNOZ RIVERA, GUAYNABO, PR 00969-5705
- **Practice address phone:** (787) 720-2196
- **Practice address fax:** (787) 287-8169
- **Mailing address:** PO BOX 296, GUAYNABO, PR 00970-0296
- **Mailing address phone:** (787) 720-2196
- **Mailing address fax:** (787) 287-8169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 18F3190 | PR | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 10/20/2016