Organization
IRAZEMA GONZALEZ MAHIQUEZ
Active
Other names
Farmacia Brazo De Oro
Organization subpart
No
Provider details
NPI number
Authorized official
IRAZEMA GONZALEZ MAHIQUEZ (OWNER)
(787) 897-5398
Entity
Organization
Contact information
Practice address
CALLE DR PEDRO ALBIZU CAMPOS #8, LARES, PR 00669
(787) 897-5398
(787) 897-5398
Mailing address
PMB 214 MUNOZ RIVERA #1, LARES, PR 00669
(787) 897-5398
(787) 897-5398
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
07F1860
PR
Other
Enumeration date
04/09/2007
Last updated
08/01/2008
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