Organization
MEDICAL PHARMACY AND LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL ROBLEDO (PRESIDENTE)
(787) 707-1983
Entity
Organization
Contact information
Practice address
ESQUINA SICILIA 404, SAN JUAN, PR 00926
(787) 764-7828
Mailing address
PO BOX 51991, TOA BAJA, PR 00950-1991
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952310740
NPI
PR
Enumeration date
09/18/2007
Last updated
05/08/2008
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