Organization
SUPER FARMACIA FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORISEL PEREZ (PHARMACIST)
(787) 822-0704
Entity
Organization
Contact information
Practice address
13 CALLE ANTONIO ALCAZAR, FLORIDA, PR 00650-1913
(787) 822-0704
(787) 822-1996
Mailing address
13 CALLE ANTONIO ALCAZAR, FLORIDA, PR 00650-1913
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
09F0131
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4018354
OTHER ID NUMBER
—
Enumeration date
04/03/2007
Last updated
09/25/2007
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