# FARMACIA THE SAN JORGE HOSPITAL INC

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

## Provider details

- **NPI number:** 1992554950
- **Authorized official:** MR. JOSE L RODRIGUEZ COLLAZAO (VICE PRESIDENT AND EXECUTIVE DIRECT)
- **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 6216, SAN JUAN, PR 00914-6216
- **Mailing address phone:** (787) 727-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/14/2024
- **Last updated:** 05/14/2024