Organization
FARMACIA LUIS PR #4 INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN L MARTINEZ RPH (VICE PRESIDENT)
(787) 722-1590
Entity
Organization
Contact information
Practice address
1501 AVE PONCE DE LEON, SAN JUAN, PR 00909-1779
(787) 722-1590
(787) 724-3722
Mailing address
1501 AVE PONCE DE LEON, SAN JUAN, PR 00909-1779
(787) 722-1590
(787) 724-3722
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
07F1237
PR
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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