# PSP4 GROUP LLC

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

## Provider details

- **NPI number:** 1598573644
- **Authorized official:** MRS. AGNES LILLIANNE ORTIZ (VICE PRESIDENT)
- **Authorized official phone:** (787) 432-2329

## Contact information

- **Practice address:** CALLE 25 DE JULIO ESQ SS RODRIGUEZ, GUANICA, PR 00653-2713
- **Practice address phone:** (939) 356-2700
- **Practice address fax:** (787) 821-1474
- **Mailing address:** PO BOX 760, GUANICA, PR 00653-0760
- **Mailing address phone:** (787) 821-0500
- **Mailing address fax:** (787) 821-0800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/20/2024
- **Last updated:** 07/21/2025