Organization
CAGUAS SUPERPHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR DE JESUS (OWNER)
(787) 745-3210
Entity
Organization
Contact information
Practice address
AVE DEGETAU ESQ, LAS PIEDRAS VV-1, CAGUAS, PR 00725
(787) 745-3210
(787) 744-2605
Mailing address
PO BOX 7139, CAGUAS, PR 00726-7139
(787) 745-3210
(787) 744-2605
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
PR
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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