Organization
FARMACIA SAN JORGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUZ E CRUZ-TORRES MANAGER (MANAGER)
(787) 840-5979
Entity
Organization
Contact information
Practice address
ST. ATOCHA 87C, PONCE, PR 00731
(787) 840-5979
(787) 284-1167
Mailing address
PO BOX 801245, COTO LAUREL, PR 00780-1245
(787) 840-5979
(787) 284-1167
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
08-F-2342
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-F-2342
PHARMACY
PR
Enumeration date
11/30/2006
Last updated
06/17/2008
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