Organization
FARMACIA IDELISSE,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANA LOIDA RODRIGUEZ RPH (PRESIDENT)
(787) 730-3508
Entity
Organization
Contact information
Practice address
CARR. 167 KM 9.5, BARRIO DAJAOS, BAYAMON, PR 00956
(787) 730-3508
(787) 730-7949
Mailing address
PO BOX 4316, BAYAMON, PR 00958-1316
(787) 730-3508
(787) 730-7949
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
09-F-0225
PR
Other
Enumeration date
03/08/2007
Last updated
09/06/2007
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