Organization
VIDIMA CORPORATION
Active
Other names
Farmacia Santa Ana
Organization subpart
No
Provider details
NPI number
Authorized official
MARITSA IVETTE DIAZ CPH (PHARMACIST)
(787) 743-5935
Entity
Organization
Contact information
Practice address
39 PASEO GAUTIER BENITEZ, CAGUAS, PR 00725
(787) 743-5935
(787) 258-6155
Mailing address
39 PASEO GAUTIER BENITEZ, CAGUAS, PR 00725
(787) 743-5935
(787) 258-6155
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
09F1329
PR
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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