# PRESTAMO PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902247349
- **Authorized official:** JOSEFINA PRESTAMO (PHARMACY)
- **Authorized official phone:** (787) 644-8663

## Contact information

- **Practice address:** CARR. 867 KM 5.4, \#204, TOA BAJA, PR 00949
- **Practice address phone:** (787) 644-8663
- **Mailing address:** PO BOX 682, TOA BAJA, PR 00951-0682
- **Mailing address phone:** (787) 644-8663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | PR | — |
| 3336C0003X | Community/Retail Pharmacy | 15-F-3142 | NULL | Yes |

## Other

- **Enumeration date:** 07/15/2013
- **Last updated:** 11/01/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4028595 | NCPCP | PR |