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Organization
LUIS A ACEVEDO
Active
Organization
LUIS A ACEVEDO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS ACEVEDO (PHARMACIST AND OWNER)
(787) 782-1180
Entity
Organization
Contact information
Practice address
50 CALLE BRAZIL STE 2, GARDENVILLE, GUAYNABO, PR 00966-2037
(787) 782-1180
(787) 782-2765
Mailing address
BRASIL 50 SUITE 2, GARDENVILLE, GUAYNABO, PR 00966
(787) 782-1180
(787) 782-2765
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
19F1412
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2082973
PK
—
Enumeration date
02/06/2006
Last updated
04/23/2018
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