# BRICEIDA HERNANDEZ

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

## Provider details

- **NPI number:** 1861680472
- **Authorized official:** MS. BRICEIDA HERNANDEZ RPH (OWNER)
- **Authorized official phone:** (787) 779-6173

## Contact information

- **Practice address:** AVE NOGAL IL 26, ROYAL PALM, BAYAMON, PR 00956
- **Practice address phone:** (787) 779-6173
- **Practice address fax:** (787) 779-6173
- **Mailing address:** AVE NOGAL IL 26 ROYAL PALM, BAYAMON, PR 00956
- **Mailing address phone:** (787) 779-6173
- **Mailing address fax:** (787) 779-6173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 10/09/2007