Organization
PUEBLO INC
Active
Other names
Pueblo Pharmacy #115
Organization subpart
No
Provider details
NPI number
Authorized official
MACBETH RAMOS (CHIEF PHARMACIST)
(787) 231-8547
Entity
Organization
Contact information
Practice address
652 AVE MUNOZ RIVERA STE 200, SAN JUAN, PR 00918-4257
(787) 754-8087
(787) 754-0983
Mailing address
P.O. BOX 1967, CAROLINA, PR 00984-1967
(787) 754-8087
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
19-F-3526
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175225
PK
—
Enumeration date
07/11/2017
Last updated
04/19/2018
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