Organization
FARMACIA SHALOM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARIA DE LOS ANGELES PAGAN LUGO (OWNER)
(787) 895-0914
Entity
Organization
Contact information
Practice address
CARR 2 KM 101 6 MARGINAL DEL PARQUE, TERRANOVA, QUEBRADILLAS, PR 00678
(787) 895-0914
(787) 895-4999
Mailing address
PO BOX 903, QUEBRADILLAS, PR 00678-0903
(787) 895-0914
(787) 895-4999
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11-F-2777
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-F-2777
PHARMACY SERVICES
PR
Enumeration date
02/08/2010
Last updated
02/08/2010
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