Organization
FARMACIA LAS COLINAS MAYAGUEZ INC
Active
Other names
FARMACIA LAS COLINAS
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS AYALA (PRESIDENT)
(787) 613-3477
Entity
Organization
Contact information
Practice address
BO EL QUEMADO CARR 106 KM 5 8, MAYAGUEZ, PR 00680
(787) 832-6122
(787) 832-6074
Mailing address
PO BOX 6066, MAYAGUEZ, PR 00681-6066
(787) 832-6122
(787) 832-6074
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
18F3081
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2087119
PK
—
Enumeration date
01/30/2007
Last updated
03/13/2017
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