Organization
A.CORDERO BADILLO,INC
Active
Other names
FARMACIA GRANDE DORADO
Organization subpart
No
Provider details
NPI number
Authorized official
LINNETTE VALLELLANES (PHCY DIR)
(787) 638-8955
Entity
Organization
Contact information
Practice address
693 ROAD KM 8, DORADO DEL MAR SHP CNTR, DORADO, PR 00646
(787) 278-6011
(787) 278-6012
Mailing address
PO BOX 458, CATANO, PR 00963-0458
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11F2319
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4025119
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/14/2007
Last updated
06/01/2010
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