Organization
FARMACIA MEDINA 3 INC
Active
Other names
FARMACIA MEDINA INC
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL MEDINA (PRESIDENT)
(787) 438-4798
Entity
Organization
Contact information
Practice address
AVE COMANDANTE ESQ AVE CAMP RICO, COUNTRY CLUB CAROLINA, PR 00984
(787) 752-5111
(787) 257-3585
Mailing address
PO BOX 3420, CAROLINA, PR 00984-3420
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
07F0564
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4018049
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/20/2006
Last updated
08/22/2020
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