# MONSERRATE PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Monserrate Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528459435
- **Authorized official:** MR. YUSEF MUSA YASSIN (OWNER)
- **Authorized official phone:** (787) 993-4741

## Contact information

- **Practice address:** MONSERRATE AVE., ESQUINA 209 ST, DB\#1 VALLE ARRIBA HEIGHTS, CAROLINA, PR 00984
- **Practice address phone:** (787) 752-6110
- **Mailing address:** PO BOX 8121, SAN JUAN, PR 00910-0121
- **Mailing address phone:** (787) 725-6625
- **Mailing address fax:** (787) 725-6624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 15-F-0753 | PR | Yes |

## Other

- **Enumeration date:** 02/13/2015
- **Last updated:** 06/13/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2150144 | PK | — |