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Organization

SUPER FARMACIA ARZUAGA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDGARDO HERNANDEZ CEO (PRESIDENT)
(787) 767-2626
Entity
Organization

Contact information

Practice address
CAROLINA SHOPPING COURT 1, LOCAL 103-B CARR#3 ESQ ROBERTO CLEMENTE, CAROLINA, PR 00987
(787) 767-2626
(787) 767-2626
Mailing address
CAROLINA SHOPPING COURT, LOCAL 103-B CARR#3 ESQ ROBERTO CLEMENTE, CAROLINA, PR 00987
(787) 767-2626
(787) 767-2626

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
09-F-0307
PR
3336C0003X
Community/Retail Pharmacy
Primary
20F3554
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4016641
NCPDP
PR
Enumeration date
01/23/2007
Last updated
08/31/2018
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