Organization
FARMACIA MEDINA #4 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRELISSE MEDINA (MANAGER)
(787) 256-3592
Entity
Organization
Contact information
Practice address
CARR 185 KM 02 VRB ZONA INDUSTRIAL, CANORANAS, PR 00729
(787) 256-3592
(787) 256-0172
Mailing address
PO BOX 10000, SUITE 572, CANORANAS, PR 00729
(787) 256-3592
(787) 256-0172
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
07F2296
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4020424
NCPDP
—
Enumeration date
10/12/2006
Last updated
08/22/2020
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