Organization
LASSALLE & VISSEPO INC
Active
Other names
FARMACIA SAN ANTONIO
Organization subpart
No
Provider details
NPI number
Authorized official
LUISA TORO BACHELOR DEGREE (OWNER)
(787) 280-0606
Entity
Organization
Contact information
Practice address
1488 AVE EMERITO ESTRADA, SAN SEBASTIAN, PR 00685-3023
(787) 280-0606
(787) 896-1177
Mailing address
PO BOX 643, SAN SEBASTIAN, PR 00685-0643
(787) 280-0606
(787) 896-1177
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
17F2724
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2085350
PK
—
Enumeration date
02/09/2007
Last updated
02/15/2017
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