Organization
MANGUAL & MENCHACA, INC
Active
Other names
FARMACIA MARISEL 2
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARISEL MENCHACA PHARMACIST (PRESIDENT)
(787) 850-9246
Entity
Organization
Contact information
Practice address
AVE. FONT MARTELO # 124 ESQ. ANTONIO LOPEZ, HUMACAO, PR 00791
(787) 850-9246
(787) 850-5600
Mailing address
PO BOX 8567, HUMACAO, PR 00792-8567
(787) 850-9246
(787) 850-5600
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
07-F-1210
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4014750
NABP
PR
Enumeration date
08/19/2005
Last updated
09/17/2008
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