Organization
FARMACIA SAN RAFAEL,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL O PIQUET R.PH. (PHARMACY MANAGER)
(787) 895-2121
Entity
Organization
Contact information
Practice address
165 CALLE SAN JUSTO, QUEBRADILLAS, PR 00678-1739
(787) 895-2121
(787) 895-6944
Mailing address
PO BOX 1546, QUEBRADILLAS, PR 00678-1546
(787) 895-2121
(787) 895-6944
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
07-F-2304
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-F-2304
PHARMACY LICENSE
PR
01
—
4005167
NCPDP
PR
Enumeration date
02/05/2007
Last updated
08/22/2020
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