Individual
LEIDA M RULLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
486 AVE. BARBOSA FIRST PHARMACY #4, HATO REY, PR 00917
(787) 764-9981
Mailing address
CALLE CORDOVA #8, PASEO DE LA ALHAMBRA, CAROLINA, PR 00987
(787) 701-2986
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4744
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4744
PR PHARMACY LICENSE
PR
Enumeration date
01/30/2007
Last updated
07/08/2007
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