Organization
SUPER FARMACIA PLAZA
Active
Other names
SUPER FARMACIA PLAZA
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGILIA PEREZ (PHARMACIST OWNER)
(787) 822-2582
Entity
Organization
Contact information
Practice address
7 CALLE MUNOZ RIVERA, FLORIDA, PR 00650-2033
(787) 822-2582
(787) 822-1546
Mailing address
PO BOX 436, FLORIDA, PR 00650-0436
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11F0010
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4011906
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/26/2006
Last updated
04/21/2010
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