Organization
ACL GROUP LLC
Active
Other names
Farmacia Costa Caribe
Organization subpart
No
Provider details
NPI number
Authorized official
BETSY CABAN (MRS)
(787) 868-0555
Entity
Organization
Contact information
Practice address
CARR 115 KM 20.5, AGUADA, PR 00602
(787) 868-0555
Mailing address
URB. MONTEMAR D 56, AGUADA, PR 00602
(787) 868-0555
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
18F3369
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160405
PK
—
Enumeration date
03/17/2016
Last updated
01/31/2017
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