Organization
LDCA ENTERPRISE INC
Active
Other names
CIV PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS VILLAHERMOSA CPC, PMB (PRES)
(787) 374-7467
Entity
Organization
Contact information
Practice address
4 CALLE MUNOZ RIVERA, SAN SEBASTIAN, PR 00685-2289
(787) 280-2288
(787) 280-4569
Mailing address
PO BOX 902, SAN SEBASTIAN, PR 00685-0902
(787) 280-2288
(787) 280-4569
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
16F2431
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2087534
PK
—
Enumeration date
10/25/2006
Last updated
08/03/2015
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