# FARMACIA SAN JORGE CHILDREN'S HOSPITAL

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

## Provider details

- **NPI number:** 1952434912
- **Authorized official:** MR. DOMINGO CRUZ (VP SENIORS OPERATION PRESIDENT)
- **Authorized official phone:** (787) 727-1000

## Contact information

- **Practice address:** 260 CALLE CONVENTO, SANTURCE, PR 00912-3207
- **Practice address phone:** (787) 727-1000
- **Practice address fax:** (787) 727-0550
- **Mailing address:** PO BOX 6308, LOIZA STATION, SAN JUAN, PR 00914-6308
- **Mailing address phone:** (787) 727-1000
- **Mailing address fax:** (787) 727-0550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 08F2464 | PR | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4021313 | NABP | PR |