Organization
FARMACIA CDT POLICLINICA FAMILIAR FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VILMA PADILLA (EXECUTIVE DIRECTOR)
(787) 822-3446
Entity
Organization
Contact information
Practice address
72 CALLE ARIZMENDI, FLORIDA, PR 00650-2006
(787) 822-1648
Mailing address
PO BOX 1336, HATILLO, PR 00659-1336
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
07-F-1770
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-F-1770
STATE LIC.
PR
01
—
BF6280919
FEDERAL LIC.
PR
01
—
DF-02390-3
ASSMCA
PR
Enumeration date
04/09/2007
Last updated
08/22/2020
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