# DAMAR OF PUERTO RICO SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farmacia CDT Dr. Enrique Koppisch
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699177261
- **Authorized official:** ALLAN CAO PHARMACIST (DISTRICT MANAGER)
- **Authorized official phone:** (786) 547-3240

## Contact information

- **Practice address:** ESQ. BARBOSA \#404, CALLE SICILIA, SAN JUAN, PR 00907
- **Practice address phone:** (787) 294-0076
- **Mailing address:** PO BOX 25130, SAN JUAN, PR 00928-5130
- **Mailing address phone:** (787) 294-0076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 17-F-3158 | PR | Yes |

## Other

- **Enumeration date:** 09/25/2014
- **Last updated:** 09/21/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2148034 | PK | — |