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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