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Organization
FARMACIA SAN ANTONIO DE AGUADA INC
Active
Organization
FARMACIA SAN ANTONIO DE AGUADA INC
Active
Other names
Farmacia San Antonio
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR GARCIA RPH (OWNER)
(787) 868-2805
Entity
Organization
Contact information
Practice address
AVE NATIVO ALERS DESVIO SUR, AGUADA, PR 00602-0991
(787) 868-2805
(787) 252-0311
Mailing address
PO BOX 1061, AGUADA, PR 00602-1061
(787) 868-2805
(787) 252-0311
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
17F2300
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1320440002
—
PR
01
—
2086301
PK
—
Enumeration date
01/19/2007
Last updated
02/17/2017
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