Organization
FARMACIA MIR MAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARIEL MIRANDA (OWNER)
(787) 864-1964
Entity
Organization
Contact information
Practice address
44 CALLE CALIMANO N, BOX 2248, GUAYAMA, PR 00784-2248
(787) 864-1962
(787) 866-2278
Mailing address
CECICILIA DOMIN GUEZ STREET # 1 EAST, P O BOX 2248, GUAYAMA, PR 00784-2248
(787) 864-1964
(787) 866-2278
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
07F1050
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07F1050
STATE LICENCE
PR
01
—
DM 015453
STATE LICENCE ASSMCA
PR
Enumeration date
08/16/2006
Last updated
03/07/2023
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