Organization
VANESSA PEREZ
Active
Other names
SUPER FARMACIA BELLA VISTA
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA PEREZ RPH (PHARMACIST)
(787) 871-2305
Entity
Organization
Contact information
Practice address
CARR 149 KM 18.0 BO PESAS, CIALES, PR 00638
(787) 871-2305
(787) 871-2541
Mailing address
PO BOX 5000, CAMUY, PR 00627-5000
(787) 421-6977
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
18-F-2387
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2087091
PK
—
Enumeration date
08/10/2006
Last updated
06/29/2016
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