Organization
FARMACIA PONTEZUELA 24 LLC
Active
Other names
Farmacia Pontezuela 24
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE SANCHEZ (PRESIDENT/OWNER)
(787) 769-5240
Entity
Organization
Contact information
Practice address
C 9 AVE PONTEZUELA VISTAMAR, COND GOLDEN TOWER, CAROLINA, PR 00983
(787) 769-5240
(787) 757-0021
Mailing address
PO BOX 29619, SAN JUAN, PR 00929-0619
(787) 769-5240
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
18-F-2889
PR
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166399
PK
—
Enumeration date
01/03/2007
Last updated
04/27/2017
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