Organization
LIFE PHARMACY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NOEMI CORTES B.PHARM (PHARMACIST/PRESIDENT)
(787) 818-5433
Entity
Organization
Contact information
Practice address
CARR. 110 KM 11.2 BO. PUEBLO, MOCA, PR 00676
(787) 818-5433
Mailing address
815 CALLE CONCEPCION VERA, MOCA, PR 00676
(787) 818-5433
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
4877
PR
3336C0003X
Community/Retail Pharmacy
Primary
19-F-3497
PR
Other
Enumeration date
04/05/2012
Last updated
11/20/2017
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