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Organization
DAMAR OF PUERTO RICO SERVICES INC
Active
Organization
DAMAR OF PUERTO RICO SERVICES INC
Active
Other names
Farmacia CDT Dr. Enrique Koppisch
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN CAO PHARMACIST (DISTRICT MANAGER)
(786) 547-3240
Entity
Organization
Contact information
Practice address
ESQ. BARBOSA #404, CALLE SICILIA, SAN JUAN, PR 00907
(787) 294-0076
Mailing address
PO BOX 25130, SAN JUAN, PR 00928-5130
(787) 294-0076
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
17-F-3158
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148034
PK
—
Enumeration date
09/25/2014
Last updated
09/21/2015
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