Individual
LISNEY GREGORI VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
CARR PR3 KM 82.5 #11, CENTRO COMERCIAL HUMACAO SHOPPING, HUMACAO, PR 00791
(787) 852-8480
Mailing address
PO BOX 984, LAS PIEDRAS, PR 00771-0984
(787) 963-7430
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
7073
PR
183500000X
Pharmacist
Primary
PS64852
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4829710
DRIVER LICENSE
PR
Enumeration date
01/10/2023
Last updated
01/10/2023
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