Organization
FARMACIA PROFESIONAL
Active
Other names
Farmacia Profesional
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN ALEMAN (MR)
(787) 258-3880
Entity
Organization
Contact information
Practice address
200 AVE RAFAEL CORDERO STE 104, AVE LUIS MUNOZ MARIN 50, CAGUAS, PR 00725-4302
(787) 258-3880
(787) 745-7510
Mailing address
200 AVE RAFAEL CORDERO STE 104, AVE LUIS MUNOZ MARIN 50, CAGUAS, PR 00725-4302
(787) 258-3880
(787) 745-7510
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
13-F2963
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4028014
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/29/2011
Last updated
11/29/2011
Update your record
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