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Organization

SAUDARA L&A LLC

Active
Other names
Farmacia Vital
Organization subpart
No

Provider details

NPI number
Authorized official
LORAINE MUNOZ (OWNER)
(787) 413-4885
Entity
Organization

Contact information

Practice address
CARRETERA #3 PUNTA SANTIAGO PARCELA 131A, HUMACAO, PR 00791
(787) 719-5950
(787) 719-5952
Mailing address
PO BOX 1576, LAS PIEDRAS, PR 00771-1576
(787) 413-4885

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
039640100
PR
Enumeration date
01/11/2024
Last updated
12/30/2025
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