Organization
SAILEE AVENDE LOPEZ
Active
Other names
SUPER FARMACIA LOPEZ
Organization subpart
No
Provider details
NPI number
Authorized official
SAILEE AYENDE RPH (OWNER)
(787) 879-5058
Entity
Organization
Contact information
Practice address
BO JAREALITOS #62 CALLE 1, ARECIBO, PR 00612
(787) 879-5058
(787) 879-5058
Mailing address
PO BOX 6000, ARECIBO, PR 00613-6010
(787) 879-5058
(787) 879-5058
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
18-F-2418
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2085058
PK
—
Enumeration date
11/03/2006
Last updated
09/28/2016
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