Organization
CORPORACION DE SERVICIOS DE SALUD Y MEDICINA AVANZADA COSSMA
Active
Other names
FARMACIA COSSMA SAN LORENZO
Organization subpart
No
Provider details
NPI number
Authorized official
ISOLINA MIRANDA (EXECUTIVE DIRECTOR)
(787) 739-8182
Entity
Organization
Contact information
Practice address
186 CALLE MUNOZ RIVERA S, SAN LORENZO, PR 00754-4212
(787) 739-8182
(787) 937-0059
Mailing address
PO BOX 1330, CIDRA, PR 00739-1330
(787) 739-8182
(787) 739-8190
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
17F2574
PR
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2087604
PK
—
05
—
90769
—
PR
Enumeration date
04/01/2008
Last updated
04/19/2017
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