Individual
CARMELO NISTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
AVENIDA DR. SUSONI # 107, HATILLO, PR 00659
(787) 898-4190
(787) 262-3984
Mailing address
PO BOX 69001, SUITE 156 BO. DOMINGUITO, HATILLO, PR 00659-6901
(787) 898-4190
(787) 262-3984
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4333
PR
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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