Organization
FARMACIA SAGRADO CORAZON EXPRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILIANETTE MIRANDA RPH (PIC)
(787) 873-7676
Entity
Organization
Contact information
Practice address
ED DORA PAGANELLI LOCAL 2, AVE VICENTE QUILINCHINI, SABANA GRANDE, PR 00637
(787) 873-7676
(787) 873-7373
Mailing address
URB SANTA MARIA 139, CALLE PEDRO DE ACOSTA, SABANA GRANDE, PR 00637
(787) 873-1182
(787) 873-1182
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
20F3348
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2087603
PK
—
Enumeration date
03/31/2008
Last updated
01/31/2018
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