Individual
EDGARDO U PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CALLE 4 A 4 LAS QUINTAS, RR 14 BOX 5053, BAYAMON, PR 00956
(787) 934-6848
Mailing address
RR 14 BOX 5053, BAYAMON, PR 00956
(787) 934-6848
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3831
PR
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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