Individual
LUIS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
WALMART PUERTO RICO INC, STATE ROAD #3 KM 15.2 BARRIO CANOVANILLAS, CAROLINA, PR 00987
(787) 653-7777
Mailing address
WALMART PUERTO RICO INC, 16300 MONTE REAL PLAZA, CAROLINA, PR 00987
(787) 653-7777
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4105
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4105
RPH LICENSE NUMBER
PR
Enumeration date
08/24/2018
Last updated
08/24/2018
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