# FARMACIA CDT POLICLINICA SAN PEDRO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700961679
- **Authorized official:** DR. JOSE SANDALIO RIVERA (OWNER)
- **Authorized official phone:** (787) 839-3980

## Contact information

- **Practice address:** 211 CALLE MORSE, ARROYO, PR 00714-2350
- **Practice address phone:** (787) 839-3980
- **Practice address fax:** (787) 271-1016
- **Mailing address:** PO BOX 818, ARROYO, PR 00714-0818
- **Mailing address phone:** (787) 839-3980
- **Mailing address fax:** (787) 271-1016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07-F-2194 | PR | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 09/28/2007