Organization
EMPRESAS CORDERO BADILLO INC
Active
Other names
Farmacia Grande
Organization subpart
No
Provider details
NPI number
Authorized official
LINNETTE VALLELLANES (PHARMACY DIRECTOR)
(787) 638-8955
Entity
Organization
Contact information
Practice address
ESMERALDA, ESQ CALLE D, BO. FRAILES, CATANO, PR 00963
(787) 789-1825
(787) 789-1826
Mailing address
PO BOX 458, CATANO, PR 00963-0458
(787) 789-1825
(787) 789-1826
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
09F2550
PR
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4026503
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/10/2008
Last updated
01/06/2011
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