Organization
FARMACIA CENTRO RENAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINERVA DE SANTIAGO (PHARMACIST)
(787) 831-0600
Entity
Organization
Contact information
Practice address
1050 AVE LOS CORAZONES, SUITE 103, MAYAGUEZ, PR 00680-7042
(787) 831-0600
(787) 265-0670
Mailing address
1050 AVE LOS CORAZONES, SUITE 103, MAYAGUEZ, PR 00680-7042
(787) 831-0600
(787) 265-0670
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
07F1234
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4018873
NABP
PR
Enumeration date
02/23/2007
Last updated
08/07/2014
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