Organization
SHADDAI PHARMACY #2 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH RIVERA RIOS (PRESIDENT)
(787) 691-2518
Entity
Organization
Contact information
Practice address
CARR PR 924 KM 2.8 SECTOR PITAHAYA BO COLLORES, HUMACAO, PR 00791
(787) 991-7696
(787) 991-7695
Mailing address
14 CALLE OPALO, MANSIONES DEL CARIBE, HUMACAO, PR 00791
(787) 691-2518
(787) 991-7695
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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