Organization
FARMACIA MEDINA 5 INC
Active
Other names
Farmacia Medina #5
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL CORDERO RPH (PRESIDENT)
(787) 763-0255
Entity
Organization
Contact information
Practice address
BO SABANA LLANA, 486 CALLE DE DIEGO, SAN JUAN, PR 00923-3141
(787) 763-0255
(787) 763-0360
Mailing address
BO SABANA LLANA, 486 CALLE DE DIEGO, SAN JUAN, PR 00923-3141
(787) 763-0255
(787) 763-0360
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
18-F-3048
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136408
PK
—
Enumeration date
01/03/2007
Last updated
02/28/2017
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