Organization
FARMACIA GANDULLA
Active
Other names
FARMACIA SERRANO MIRADERO
Organization subpart
No
Provider details
NPI number
Authorized official
LEDA SANTIAGO (PHARMACIST)
(787) 265-2684
Entity
Organization
Contact information
Practice address
CARR 108 KM 2 6 INT MIRADERO, MAYAGUEZ, PR 00682
(787) 265-2684
(787) 265-2684
Mailing address
MIRADERO PLAZA 1190 CARR 108, SUITE 101, MAYAGUEZ, PR 00682
(787) 265-2684
(787) 265-2684
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11F1459
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4020462
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/17/2007
Last updated
02/08/2011
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