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Organization

SAN ARCANGEL PHARMACY

Active
Other names
FARMACIA SAN ARCANGEL
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LILLIAN QUINTERO R. PH. (PRESIDENT)
(787) 744-3400
Entity
Organization

Contact information

Practice address
2 CALLE MUNOZ RIVERA, CAGUAS, PR 00725-2603
(787) 744-3400
(787) 258-3400
Mailing address
PO BOX 863, CAGUAS, PR 00726-0863
(787) 744-3400
(787) 258-3400

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
07-F-0258
PR
332B00000X
Durable Medical Equipment & Medical Supplies
4015207
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07-F-0258
STATE LICENCE P.R.
PR
Enumeration date
09/22/2006
Last updated
05/30/2008
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