Organization
DAMAR OF PUERTO RICO SERVICES INC
Active
Other names
Farmacia CDT Dr Jose A. Lopez Antongiorgi
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN CAO (ADMINISTRATOR)
(786) 547-3240
Entity
Organization
Contact information
Practice address
333 CALLE 25 NE, URB PUERTO NUEVO, SAN JUAN, PR 00920-2531
(787) 775-7773
(787) 775-7773
Mailing address
PO BOX 25130, SAN JUAN, PR 00928-5130
(787) 775-7773
(787) 775-7773
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
17-F-3159
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149779
PK
—
Enumeration date
10/16/2014
Last updated
08/30/2016
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