Organization
FARMACIA NUEVO CONCEPTO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AWILDA RIOLLANO CHICO LCDA (OWNER PHARMACIST)
(787) 895-3060
Entity
Organization
Contact information
Practice address
157 CALIFORNIA ST, QUEBRADILLAS, PR 00678-0957
(787) 895-3060
(787) 895-1804
Mailing address
PO BOX 957, QUEBRADILLAS, PR 00678-0957
(787) 895-3060
(787) 895-1804
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
Primary
07F0004
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4015245
NABP
PR
Enumeration date
01/02/2007
Last updated
08/20/2008
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