Organization
FARMACIA LA INMACULADA INC
Active
Other names
FARMACIA LA INMACULADA
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ROSA PHARMACIST (ADMINISTRATOR)
(787) 734-4399
Entity
Organization
Contact information
Practice address
5 CALLE ALMODOVAR, JUNCOS, PR 00777-3302
(787) 734-4399
(787) 734-2565
Mailing address
PO BOX 1753, JUNCOS, PR 00777-1753
(787) 734-4399
(787) 734-2565
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
19F2926
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2085727
PK
—
Enumeration date
10/24/2006
Last updated
02/28/2017
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