Organization
FARMACIA MARISEL #1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARISEL MENCHACA PHARMACIST (PRESIDENT)
(787) 852-4535
Entity
Organization
Contact information
Practice address
STREET NOYA & HERNANDEZ #2, HUMACAO, PR 00791
(787) 852-4535
(787) 852-4565
Mailing address
PO BOX 8567, HUMACAO, PR 00792-8567
(787) 852-4535
(787) 852-4565
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
07-F-1209
PR
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
07-F-1209
PR
Other
Enumeration date
08/22/2005
Last updated
04/07/2008
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