Organization
FARMACIA SAN JOSE CORP
Active
Other names
farmacia san jose corp
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL VAZQUEZ (PRESIDENT)
(787) 986-7837
Entity
Organization
Contact information
Practice address
5 CALLE DE DIEGO E, ESQUINA DR. BASORA, MAYAGUEZ, PR 00680-4811
(787) 986-7837
(787) 986-7838
Mailing address
5 CALLE DE DIEGO E, ESQUINA DR. BASORA, MAYAGUEZ, PR 00680-4811
(787) 986-7837
(787) 986-7838
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
17F3271
PR
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157949
PK
—
Enumeration date
12/17/2009
Last updated
08/16/2016
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