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Organization

PHARMACY COSSMA YABUCOA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ISOLINA MIRANDA (EXECUTIVE DIRECTOR)
(787) 739-8182
Entity
Organization

Contact information

Practice address
BARRIO JUAN MARTIN CARR 901 KM. 1.6, YABUCOA, PR 00767-0067
(787) 739-8182
(787) 893-3055
Mailing address
PO BOX 1330, CIDRA, PR 00739-1330
(787) 739-8182
(787) 893-3055

Taxonomy

Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
13F2937
PR
3336C0003X
Community/Retail Pharmacy
13F2937
PR
3336C0004X
Compounding Pharmacy
Primary
13F2937

Other

Enumeration date
04/25/2011
Last updated
04/25/2011
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