Organization
MARILIA PAGAN SANTIAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILIA PAGAN (OWNER PHARMACIST)
(787) 891-4723
Entity
Organization
Contact information
Practice address
CARR 459 BDA CABAN 160 A, AGUADILLA, PR 00603
(787) 891-4723
(787) 891-4723
Mailing address
CARR 459 BDA CABAN 160 A, AGUADILLA, PR 00603
(787) 891-4723
(787) 891-4723
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
20-F-2360
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2086280
PK
—
Enumeration date
11/03/2006
Last updated
04/19/2018
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