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Individual

FLORIELI DIAZ GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
CVS PHARMACY, 8030 CALLE TARTAK, CAROLINA, PR 00979
(787) 585-0263
Mailing address
PO BOX 1115, TRUJILLO ALTO, PR 00977-1115
(787) 585-0263

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
06680
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4776201
OTHER
PR
Enumeration date
08/10/2020
Last updated
08/10/2020
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