# MEDICOS PHARMACY & LABORATORY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FARMACIA MPL CDT DR OLIVERA GUERRA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710173448
- **Authorized official:** VICTOR GUZMAN (DIRECTOR)
- **Authorized official phone:** (787) 707-1983

## Contact information

- **Practice address:** CALLE 8 ESQUINA 45 PARA LAS FALU, TOA BAJA, PR 00950
- **Practice address phone:** (787) 771-3000
- **Practice address fax:** (787) 706-8823
- **Mailing address:** PO BOX 51991, TOA BAJA, PR 00950-1991
- **Mailing address phone:** (787) 707-1983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 10F2632 | PR | Yes |

## Other

- **Enumeration date:** 09/17/2007
- **Last updated:** 01/04/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4026438 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |