Individual
MS. MARTA IRIS PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
963 CALLE MUNOZ RIVERA, PENUELAS, PR 00624-1401
(787) 836-2173
(787) 836-6102
Mailing address
HC 01 BOX 13232, PENUELAS, PR 00624
(787) 235-8947
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5656
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5656
CPHT LICENSE
PR
Enumeration date
06/11/2007
Last updated
07/08/2007
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