Individual
MRS. ELSIE LIDIA PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
156 CALLE BALDORIOTY N, AIBONITO, PR 00705-3218
(787) 735-4887
(787) 735-4887
Mailing address
PO BOX 1077, AIBONITO, PR 00705-1077
(787) 735-6533
(787) 735-6533
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2722
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2722
LICENSE
PR
Enumeration date
06/01/2007
Last updated
07/08/2007
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