Organization
MMR SUPERMARKET INC
Active
Other names
Farmacia Don Mode
Organization subpart
No
Provider details
NPI number
Authorized official
IGNACIO VIDAL (ATTORNEY)
(787) 751-9393
Entity
Organization
Contact information
Practice address
CARR 183, KM 1, SAN LORENZO SHOPPING CENTER, SAN LORENZO, PR 00754
(787) 715-1770
Mailing address
PO BOX 1657, FARMACIA DON MODE, TRUJILLO ALTO, PR 00977-1657
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
16F2799
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2124098
PK
—
Enumeration date
03/04/2010
Last updated
10/01/2015
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