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Organization
FARMACIA DEJIREH CORP
Active
Organization
FARMACIA DEJIREH CORP
Active
Other names
FARMACIA DEJIREH CORP
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE SERRANO RPH (PRESIDENT)
(787) 559-1137
Entity
Organization
Contact information
Practice address
CARRETERA 3 URB BUZO, 443, HUMACAO, PR 00791
(787) 852-2828
(787) 852-4622
Mailing address
PO BOX 548, HUMACAO, PR 00792-0548
(787) 852-2828
(787) 852-4622
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
15F2572
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2087590
PK
—
Enumeration date
12/21/2007
Last updated
11/19/2014
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