Organization
PREMIUM PHARMACY 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX CARRASQUILLO (ADM)
(787) 444-4908
Entity
Organization
Contact information
Practice address
HOSPITAL EL MAESTRO CALLE SERGIO CUEVAS BUSTAMANTE, HOSPITAL EL MAESTRO, CALLE SERGIO CUEVAS BUSTAMANTE, SAN JUAN, PR 00927
(787) 791-2065
(787) 791-5874
Mailing address
LAGUNA GARDENS SHOPPING CENTER, SUITE 115-A, CAROLINA, PR 00979
(787) 791-2065
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
09/21/2021
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