Organization
SUPER FARMACIA SANTA ANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS E. MALAVE (ADMINISTRATOR)
(787) 270-0593
Entity
Organization
Contact information
Practice address
CARRETERA # 2 KM 29.1, PARCELAS CARMEN, VEGA ALTA, PR 00692
(787) 270-0593
(787) 270-2503
Mailing address
76A CALLE JILGUERO, PARCELAS CARMEN, VEGA ALTA, PR 00692-5810
(787) 270-0593
(787) 270-2503
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
07-F-1347
PR
Other
Enumeration date
02/21/2007
Last updated
08/11/2008
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