# HEALTH ADMIN SVC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FARMACIA SNF LA CASA DEL VETERANO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932110053
- **Authorized official:** JERGE PAOLI BRUNO MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (787) 381-0247

## Contact information

- **Practice address:** CARR 592 NUM 15 BO AMUELAS, JUANA DIAZ, PR 00795-2872
- **Practice address phone:** (787) 837-6574
- **Practice address fax:** (787) 260-0034
- **Mailing address:** PO BOX 194288, SAN JUAN, PR 00919-4288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 07F2156 | PR | Yes |
| 3336I0012X | Institutional Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/11/2006
- **Last updated:** 01/09/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4025195 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |