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Organization
FARMACIA SAN RAFAEL SANTURCE, INC
Active
Organization
FARMACIA SAN RAFAEL SANTURCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL ANGEL DIAZ REYES PH T. (ADMINISTRATOR)
(787) 724-3333
Entity
Organization
Contact information
Practice address
851 CALLE LAFAYETTE, PDA 20, SAN JUAN, PR 00909-2627
(787) 724-3333
(787) 721-4165
Mailing address
851 CALLE LAFAYETTE, PDA 20, SAN JUAN, PR 00909-2627
(787) 724-3333
(787) 721-4165
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
17-F-2298
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-F-2298
STATE LICENSE
PR
Enumeration date
02/20/2007
Last updated
03/07/2023
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