Organization
SU FARMACIA MODELO Z P INC
Active
Other names
Farmacia Modelo
Organization subpart
No
Provider details
NPI number
Authorized official
NILSA PEREZ TORRES (ADMINISTRATOR)
(787) 896-1154
Entity
Organization
Contact information
Practice address
CALLE MJ CABRERO, SUITE 54, SAN SEBASTIAN, PR 00685
(787) 896-1154
(787) 896-1154
Mailing address
PO BOX 1677, SAN SEBASTIAN, PR 00685-1677
(787) 896-1154
(787) 896-1154
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
18-F-3079
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139535
PK
—
Enumeration date
12/19/2006
Last updated
04/25/2017
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