Organization
HOSPITAL MENONITA CAGUAS INC
Active
Other names
Farmacia y Gift Shop Menonita
Organization subpart
No
Provider details
NPI number
Authorized official
BENIGNO DOMINGUEZ RPH (FARMACEUTICO REGENTE)
(787) 653-0550
Entity
Organization
Contact information
Practice address
CARR. 172 CAGUAS A CIDRA URB. TURABO GARDENS, CAGUAS, PR 00725
(787) 653-0550
(787) 653-0538
Mailing address
P.O. BOX 660, CAGUAS, PR 00725
(787) 653-0550
(787) 653-0538
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
17F3340
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159581
PK
—
05
—
400104
—
PR
Enumeration date
04/18/2016
Last updated
01/18/2017
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