Individual
JOHANA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
1484 AVE F D ROOSEVELT, SUITE 19, SAN JUAN, PR 00920-2732
(787) 783-4510
(787) 792-0831
Mailing address
1484 AVE. F. D. ROOSEVELT, SUITE 19, SAN JUAN, PR 00920-2732
(787) 783-4510
(787) 792-0831
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
14734
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
660263057
1184722019
PR
Enumeration date
10/01/2021
Last updated
10/01/2021
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