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Individual

MISS DIONARY ROA PENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMACY TECN.

Contact information

Practice address
10 CALLE PEDRO ALBIZU CAMPOS, LARES, PR 00669-2434
(787) 897-2050
Mailing address
PO BOX 1840, HATILLO, PR 00659-8840
(787) 424-9320

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
10545
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4990128
TCNICO FARMACIA
PR
01
4990138
PHARMACY TEC.
PR
Enumeration date
08/16/2018
Last updated
07/21/2022
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