Organization
PREMIUM PHARMACY 3
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCOS ENRIQUE IRIZARRY (ADMINISTRATOR)
(787) 341-4893
Entity
Organization
Contact information
Practice address
STE AMADEO AVE FERNANDEZ JUNCOS SPC 4, CAROLINA, PR 00979
(787) 341-4893
Mailing address
LAGUNA GARDENS SHOPPING CENTER, SUITE 115-A, CAROLINA, PR 00979
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
11/03/2025
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