Organization
FARMACIA SAN ANTONIO DE AGUADA INC
Active
Other names
Farmacia San Antonio
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR GARCIA RPH (OWNER)
(787) 868-2805
Entity
Organization
Contact information
Practice address
AVE NATIVO ALERS DESVIO SUR, AGUADA, PR 00602-0991
(787) 868-2805
(787) 252-0311
Mailing address
PO BOX 1061, AGUADA, PR 00602-1061
(787) 868-2805
(787) 252-0311
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
17F2300
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1320440002
—
PR
01
—
2086301
PK
—
Enumeration date
01/19/2007
Last updated
02/17/2017
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