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Organization
JORGE SANTIAGO SANTIAGO
Active
Organization
JORGE SANTIAGO SANTIAGO
Active
Other names
FARMACIA MONTE BRISAS
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE SANTIAGO (OWNER)
(787) 863-4445
Entity
Organization
Contact information
Practice address
URB. MONTE BRISAS I, A 21CALLE J, FAJARDO, PR 00738-3349
(787) 863-4445
(787) 863-4544
Mailing address
URB. MONTE BRISAS I, A 21CALLE J, FAJARDO, PR 00738-3349
(787) 863-4445
(787) 863-4544
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
17F1083
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2084709
PK
—
Enumeration date
10/20/2006
Last updated
04/18/2017
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