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Individual

MILDRED PAGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
ST GUAYACAN 28 SANTA ELENA, GUAYANILLA, PR 00656-1437
(787) 892-1500
(787) 892-1514
Mailing address
ST GUAYACAN S 28, URB STA ELENA, GUAYANILLA, PR 00656-1437
(787) 892-1500
(787) 892-1514

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
2346
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2346
PHARMACIST LICENSE
PR
Enumeration date
08/13/2013
Last updated
08/13/2013
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