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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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