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Individual

MRS. PATRIA M LUGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
ROAD 119 KM 9.0, CAMUY, PR 00627
(787) 820-2148
(787) 820-8181
Mailing address
HC 6 BOX 10400, CAMUY, PR 00627
(787) 820-2148
(787) 820-8181

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4365
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4365
PR PHARMACY BOARD LICENSE
PR
Enumeration date
01/26/2007
Last updated
07/08/2007
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