Organization
NSG SERVICIOS FARMACEUTICOS, LLC
Active
Other names
Farmacia San Luis
Organization subpart
No
Provider details
NPI number
Authorized official
NURI ECHEVERRIA PHARMD, CDE (CLINICAL AND CHIEF PHARMACIST)
(787) 736-2771
Entity
Organization
Contact information
Practice address
106 CALLE MUNOZ RIVERA S, SAN LORENZO, PR 00754-3925
(787) 736-2771
(787) 736-7101
Mailing address
106 CALLE MUNOZ RIVERA S, SAN LORENZO, PR 00754-3925
(787) 736-2771
(787) 736-7101
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
15-F-2958
PR
3336C0003X
Community/Retail Pharmacy
Primary
15-F-2958
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1280790001
MEDICARE IDENTIFICATION NUMBER
PR
01
—
4007387
NCPDP NUMBER
PR
Enumeration date
01/03/2007
Last updated
01/07/2014
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