Organization
FARMACIA DIAZ CORP
Active
Other names
FARMACIA DIAZ
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER MIRADA (PHARMACIST)
(787) 857-7954
Entity
Organization
Contact information
Practice address
CARRETERA 152 KM 2.8, BARRIO QUEBRADILLAS, BARRANQUITAS, PR 00794
(787) 857-7954
(787) 857-5249
Mailing address
PO BOX 959, BARRANQUITAS, PR 00794-0959
(787) 857-7954
(787) 857-5249
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
13F2108
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4024167
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
5234100001
—
PR
Enumeration date
12/28/2006
Last updated
08/03/2012
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