Individual
IVANNESIE ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
X1 AVE LAS CUMBRES ROYAL TOWN, BAYAMON, PR 00956
(787) 620-9609
Mailing address
PO BOX 1477, SAN GERMAN, PR 00683-1477
(787) 458-3957
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6257
PR
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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