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Organization
FARMACIA SAN MIGUEL SL INC
Active
Organization
FARMACIA SAN MIGUEL SL INC
Active
Other names
Farmacia San Miguel SL Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE ROSA (SECRETARY)
(939) 218-1073
Entity
Organization
Contact information
Practice address
CARRT. 181 KM 0.6 INT. CARRT. 183, SAN LORENZO, PR 00754
(787) 736-2900
(787) 736-2800
Mailing address
PO BOX 593, GURABO, PR 00778-0593
(939) 218-1073
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
14F3020
PR
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4028115
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/24/2012
Last updated
04/24/2012
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