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Organization
HIGHWAY PHARMACY MALL INC
Active
Organization
HIGHWAY PHARMACY MALL INC
Active
Other names
Highway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOMARIE ORTIZ RIVERA PHARM.D. (PRESIDENT/CHIEF PHARMACIST)
(787) 478-0215
Entity
Organization
Contact information
Practice address
PLAZA OASIS CARR 153 KM 6.2, SANTA ISABEL, PR 00757
(787) 845-6272
(787) 845-6272
Mailing address
PO BOX 1902, COAMO, PR 00769-1902
(787) 845-6272
(787) 845-6272
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
07F2001
PR
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039814600
—
PR
Enumeration date
01/08/2007
Last updated
07/16/2025
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