Organization
FARMACIA MEDIANIA INC
Active
Other names
Farmacia Mediania Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SANTIAGO MOLINA LCDO (OWNER)
(787) 876-1927
Entity
Organization
Contact information
Practice address
CARR 187 KM 7.0, MEDIANIA ALTA, LOIZA, PR 00772
(787) 876-1927
(787) 256-2777
Mailing address
PO BOX 528, LOIZA, LOIZA, PR 00772-0528
(787) 876-1927
(787) 256-2777
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
13-F-0629
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4014433
NCPDP
—
Enumeration date
04/24/2007
Last updated
10/30/2012
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