Organization
SHADDAI PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH RIVERA RIOS PHARMACIST (PRESIDENT)
(787) 691-2518
Entity
Organization
Contact information
Practice address
28A BLOQUE BB1 LOCAL 2, VILLA UNIVERSITARIA, HUMACAO, PR 00791
(787) 852-7676
(787) 850-7053
Mailing address
14 CALLE OPALO, MANSIONES DEL CARIBE, HUMACAO, PR 00791-5200
(787) 852-7676
(787) 850-7053
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
14-F-3019
PR
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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