# NACHESCA CARABELLO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FARMACIA A SAN GABRIEL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598817595
- **Authorized official:** NACHESCA CARABALLO (OWNER)
- **Authorized official phone:** (787) 286-1694

## Contact information

- **Practice address:** LOCAL C31C CONSOLIDATED MALL, CAGUAS, PR 00726
- **Practice address phone:** (787) 286-1694
- **Practice address fax:** (787) 316-8737
- **Mailing address:** PMB 194 HC01 BOX 29030, CAGUAS, PR 00725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 08F2457 | PR | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 07/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4025549 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |