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Individual

GUILLERMO ANTONIO FAJARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
5984 AVE ISLA VERDE, WALGREENS, CAROLINA, PR 00979-5776
(787) 982-0390
(787) 982-0570
Mailing address
5984 AVE ISLA VERDE, WALGREENS, CAROLINA, PR 00979-5776
(787) 982-0390
(787) 982-0570

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4036
PR

Other

Enumeration date
08/12/2011
Last updated
08/12/2011
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