Individual
LUZ M ROSENDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CVS PHARMACY STORE 4588, 6109 CARR 694, VEGA ALTA, PR 00692
(787) 270-0460
Mailing address
CVS PHARMACY STORE 4588, 6109 CARR 694, VEGA ALTA, PR 00692
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2180
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2180
—
PR
Enumeration date
03/19/2018
Last updated
06/16/2018
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