Organization
MIDWAY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLAIN DOMINGUEZ RPH (ADMIN PHARMACIST)
(787) 873-1480
Entity
Organization
Contact information
Practice address
BO RAYO CARR 117 INT 121 KM 4 2, SABANA GRANDE, PR 00637
(787) 873-1480
(787) 804-1480
Mailing address
BO MAGINA 22S C/MARGINA/STE 2, SABANA GRANDE, PR 00637
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
07F2067
PR
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4023937
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/11/2006
Last updated
09/11/2025
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