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Individual

MR. KEVIN JAVIER LUQUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM TECH

Contact information

Practice address
CARR. 156 KM 49.0, BO. MULAS, AGUAS BUENAS, PR 00703
(787) 732-4799
(787) 732-4799
Mailing address
HC 5 BOX 6560, AGUAS BUENAS, PR 00703-9015
(787) 585-5117
(787) 732-4799

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
8542
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8542
PHARMACY TECH LICENSE
PR
Enumeration date
05/28/2013
Last updated
05/28/2013
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