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Organization
NEW ERA COMPOUNDING
Active
Organization
NEW ERA COMPOUNDING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL RONALDO CABRERA PHARMD (PHARMACIST)
(562) 688-4817
Entity
Organization
Contact information
Practice address
LOTE 6-K ESPACIO 'A' JULION MATOS INDUSTRIAL PARK, CALLE CAMPECHE (INT CARR PR-887 KM 9.6) BO MARTIN GONZA, CAROLINA, PR 00987
(787) 422-2000
Mailing address
1353 AVE LUIS VIGOREAUX, PMB 173, GUAYNABO, PR 00966
(787) 422-2000
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Enumeration date
09/16/2020
Last updated
06/30/2021
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