# FARMACIA DEJIREH CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FARMACIA DEJIREH CORP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851575112
- **Authorized official:** JACQUELINE SERRANO RPH (PRESIDENT)
- **Authorized official phone:** (787) 559-1137

## Contact information

- **Practice address:** CARRETERA 3 URB BUZO, 443, HUMACAO, PR 00791
- **Practice address phone:** (787) 852-2828
- **Practice address fax:** (787) 852-4622
- **Mailing address:** PO BOX 548, HUMACAO, PR 00792-0548
- **Mailing address phone:** (787) 852-2828
- **Mailing address fax:** (787) 852-4622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 15F2572 | PR | Yes |

## Other

- **Enumeration date:** 12/21/2007
- **Last updated:** 11/19/2014