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Organization

FARMACIA SAN LAZARO

Active
Other names
Farmacia San Lazaro
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM RODRIGUEZ (PRESIDENT)
(787) 251-5930
Entity
Organization

Contact information

Practice address
AVE. SANTA JUANITA BR6-BR7, SANTA JUANITA, BAYAMON, PR 00956-1616
(787) 251-5930
(787) 780-8671
Mailing address
AVE. SANTA JUANITA BR6-BR7, SANTA JUANITA, BAYAMON, PR 00956-1616
(787) 251-5930
(787) 780-8671

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
19F2531
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2139202
PK
05
4025828
PR
Enumeration date
09/28/2007
Last updated
09/03/2019
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