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Organization

DAMAR OF PUERTO RICO SERVICES INC

Active
Other names
FARMACIA ACADEMICA
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL MAHIQUES DOCTOR IN PHARM (PRESIDENT)
(787) 396-8165
Entity
Organization

Contact information

Practice address
URB. INDUSTRIAL REPARADA, LOTE A-2, PONCE, PR 00732
(787) 259-3946
(787) 841-7101
Mailing address
P.O. BOX 25130, SAN JUAN, PR 00928-5130
(786) 547-3240

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
17-F-3113
PR
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2139152
PK
Enumeration date
03/01/2013
Last updated
02/21/2017
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