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Organization
FARMACIA DOMENECH LLC
Active
Organization
FARMACIA DOMENECH LLC
Active
Other names
FARMACIA DOMENECH LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RAMON ORTIZ (OWNER/PHARM)
(787) 868-2135
Entity
Organization
Contact information
Practice address
CALLE COLON # 228, AGUADA, PR 00602-3166
(787) 868-2135
(787) 868-2933
Mailing address
CALLE COLON # 228, AGUADA, PR 00602-3166
(787) 868-2135
(787) 868-2933
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
18-F-3200
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2082736
PK
—
Enumeration date
11/08/2005
Last updated
06/21/2016
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