Organization
NOVA PHARMACY 3
Active
Other names
NOVA PHARMACY 3 INC
Organization subpart
No
Provider details
NPI number
Authorized official
GERARDO RIVERA (OWNER)
(787) 375-0295
Entity
Organization
Contact information
Practice address
PLAZA LA CEIBA SHOPPING CENTER #8, BO FELICIA 2, SANTA ISABEL, PR 00757
(787) 845-0404
(787) 845-0505
Mailing address
PO BOX 1050, SALINAS, PR 00751-1050
(787) 375-0295
(787) 845-0505
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
17F3273
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148190
PK
—
Enumeration date
04/23/2015
Last updated
04/23/2015
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