Organization
COOP. FCIA. STA. TERESITA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IDA E. CARDONA (PHARMACIST)
(787) 825-9432
Entity
Organization
Contact information
Practice address
25 CALLE JOSE I QUINTON, COAMO, PR 00769-2400
(787) 825-9432
(787) 803-1170
Mailing address
PO BOX 536, COAMO, PR 00769-0536
(787) 825-9432
(787) 803-1170
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3219
PR
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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