Organization
FARMACIA LA ROSA DE SARON INC
Active
Other names
SUPER FARMACIA VILLA TOLEDO
Organization subpart
No
Provider details
NPI number
Authorized official
IVIS GONZALEZ (PRESIDENT)
(787) 226-1770
Entity
Organization
Contact information
Practice address
132 CALLE UMBRAL, VILLA TOLEDO, ARECIBO, PR 00612-9689
(787) 817-4747
(787) 817-4646
Mailing address
132 CALLE UMBRAL, URB VILLA TOLEDO, ARECIBO, PR 00612-9689
(787) 817-4747
(787) 817-4646
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
17-F-2744
PR
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120882
PK
—
Enumeration date
07/27/2009
Last updated
05/03/2016
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