Individual
DR. DANIEL OMAR VALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
COSTCO WHOLESALE CORPORATION DBA COSTCO PHARMACAY #363, CARR. 177, ESQUINA CALLE 24, URB. INDUSTRIAL MINILLAS, BAYAMON, PR 00959-0000
(787) 993-9310
Mailing address
HC 3 BOX 33035, AGUADILLA, PR 00603-9405
(787) 248-5908
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6867
PR
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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