Organization
MAYRA'S PHARMACY PSC
Active
Other names
Mayra's Pharmacy PSC
Organization subpart
No
Provider details
NPI number
Authorized official
MAYRA IVELISSE RODRIGUEZ (PHARMACIST)
(787) 874-9911
Entity
Organization
Contact information
Practice address
CARR. 31 KM. 3.2, AT SUPERMERCADOS ECONO, NAGUABO, PR 00718-0741
(787) 874-9911
(787) 874-3582
Mailing address
PO BOX 741, NAGUABO, PR 00718-0741
(787) 874-9911
(787) 874-3582
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
15F3178
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039807500
—
PR
01
—
2144520
PK
—
Enumeration date
03/06/2014
Last updated
07/02/2025
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