Organization
DLR CONDADO PHARMACY
Active
Other names
DLR Condado Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL DE LEON (TREASURER)
(787) 758-0138
Entity
Organization
Contact information
Practice address
186 CALLE JUAN P DUARTE, HATO REY, SAN JUAN, PR 00917-3602
(787) 758-0168
(787) 753-5906
Mailing address
PO BOX 195417, SAN JUAN, PR 00919-5417
(787) 758-0168
(787) 753-5906
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
15F2783
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127984
PK
—
Enumeration date
12/07/2010
Last updated
05/22/2014
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