# PROFESSIONAL PHARMACY LA PAZ PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Professional Pharmacy La Paz Pharmacy Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841361243
- **Authorized official:** MR. LUIS R MONROUZEAU MBA HCM (OWNER PRESIDENT)
- **Authorized official phone:** (787) 878-1548

## Contact information

- **Practice address:** CARR \#2 KM 62.7 BO SABANA HOYOS SECTOR CANDELARIA, ARECIBO, PR 00612
- **Practice address phone:** (787) 881-2440
- **Practice address fax:** (787) 880-3258
- **Mailing address:** CALLE JOSE RODRIGUEZ IRIZARRY \#152, ARECIBO, PR 00612
- **Mailing address phone:** (787) 881-2440
- **Mailing address fax:** (787) 880-3258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07F2302 | PR | Yes |

## Other

- **Enumeration date:** 11/10/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4017061 | NCPDP | — |
