Organization
GES FARMACIA TRUJILLO ALTO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL VILLALOBOS (PRESIDENT)
(787) 767-8758
Entity
Organization
Contact information
Practice address
130 CALLE CARITE, URB LAGO ALTO, TRUJILLO ALTO, PR 00976-4019
(787) 760-6269
Mailing address
PO BOX 193044, SAN JUAN, PR 00919-3044
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
07-F2229
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-F2229
LICENSE
PR
Enumeration date
05/24/2007
Last updated
08/22/2020
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