Organization
FARMACIA SANTA JUANITA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONTSERRAT SWENSEN (PRESIDENT)
(787) 786-2554
Entity
Organization
Contact information
Practice address
WA1A AVE SANTA JUANITA, URB. SANTA JUANITA, BAYAMON, PR 00956-5074
(787) 786-2554
Mailing address
PO BOX 19870, SAN JUAN, PR 00910-1870
(787) 786-2554
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
07-F-2185
PR
333600000X
Pharmacy
07-F-2185
PR
3336C0003X
Community/Retail Pharmacy
Primary
07-F-2185
PR
3336H0001X
Home Infusion Therapy Pharmacy
07-F-2185
PR
3336S0011X
Specialty Pharmacy
07-F-2185
PR
Other
Enumeration date
07/11/2006
Last updated
12/17/2007
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