Organization
PROFESSIONAL DRUG 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NILZA IRIS SANTIAGO PHARMACIST (OWNER)
(787) 870-2935
Entity
Organization
Contact information
Practice address
B35 CALLE 6, URB SANFERNANDO, TOA ALTA, PR 00953-2205
(787) 870-2935
Mailing address
PO BOX 51666, TOA BAJA, PR 00950-1666
(787) 870-0978
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
15-F-0813
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4019724
NCPDP
PR
Enumeration date
02/27/2007
Last updated
05/06/2014
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