Organization
DAMAR OF PUERTO RICO SERVICE INC
Active
Other names
FARMACIA CDT DR JAVIER J ANTON
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN CAO PHARM. D (ADMINISTRATOR)
(786) 547-3240
Entity
Organization
Contact information
Practice address
PLAZA DEL MERCADO, RAFAEL HERNANDEZ, CALLE VALLEJO, ESQ. PINERO LOTE#23, SAN JUAN, PR 00925
(787) 274-0254
(787) 771-3585
Mailing address
PO BOX 25130, SAN JUAN, PR 00928-5130
(787) 396-8165
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
16-F-3244
PR
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2086931
PK
—
Enumeration date
03/15/2007
Last updated
02/25/2015
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