Organization
COSSMA, INC.
Active
Other names
COSSMA, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ISOLINA MIRANDA (EXECUTIVE DIRECTOR)
(787) 739-8182
Entity
Organization
Contact information
Practice address
BOULEVARD DEL RIO RAMAL #3, HUMACAO, PR 00791
(787) 739-8182
(787) 937-0062
Mailing address
PO BOX 1330, CIDRA, PR 00739-1330
(787) 739-8182
(787) 739-8190
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
18-F-3057
PR
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2087587
PK
—
05
—
90769
—
PR
Enumeration date
12/03/2007
Last updated
05/01/2017
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