Organization
WILMET I MILLAN CAMACHO
Active
Other names
Farmacia Rosalina
Organization subpart
No
Provider details
NPI number
Authorized official
WILMET MILLAN (OWNER)
(787) 397-2161
Entity
Organization
Contact information
Practice address
344 CALLE FONT MARTELO, HUMACAO, PR 00791-3228
(787) 850-2040
(787) 850-2232
Mailing address
PO BO BOX 8364, HUMACAO, PR 00792-8364
(787) 850-2040
(787) 850-2232
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12F2837
PR
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4027339
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/26/2010
Last updated
08/29/2019
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