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Individual

LOIDA M PORTALATIN PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
CARR. #2 KM 121.7 INTERIOR, BO. CORRALES, AGUADILLA, PR 00603
Mailing address
564 AVE. INTERAMERICANA, AGUADILLA, PR 00603
(787) 245-3411

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS55550
FL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS55550
FL

Other

Enumeration date
08/21/2017
Last updated
02/25/2022
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