Organization
FARMACIA LISYAI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGEL E PENA (OWNER)
(787) 737-1133
Entity
Organization
Contact information
Practice address
CARR 189 KM 6.4 CENTRO COMERCIAL MARINAPLAZA, LOCAL 9-10-11 URB VILLA MARIA, GURABO, PR 00778
(787) 737-1133
(787) 737-0793
Mailing address
PO BOX 1346, GURABO, PR 00778
(787) 737-1133
(787) 737-0793
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
09F2517
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038101700
—
PR
Enumeration date
05/30/2007
Last updated
10/10/2024
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