Organization
FARMACIA JIREH INC
Active
Other names
FARMACIA JIREH
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR MAISONET (PRESIDENT)
(787) 882-7900
Entity
Organization
Contact information
Practice address
CARR 2 KM 122 CAIMITAL ALTO, AGUADILLA, PR 00603
(787) 882-7900
(787) 882-4916
Mailing address
213 URB VALLES DE ANASCO, ANASCO, PR 00610-9601
(787) 882-7900
(787) 882-4916
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
18F2680
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2087581
PK
—
Enumeration date
10/26/2007
Last updated
03/13/2017
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