Individual
MRS. CARMEN N LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS PH
Contact information
Practice address
#23 CALLE RAMON DE JESUS, LARES, PR 00669-2204
(787) 897-2464
(787) 897-3231
Mailing address
PO BOX 141336, ARECIBO, PR 00614-1336
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2452
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386592
DRIVER LIC
PR
Enumeration date
03/02/2018
Last updated
03/02/2018
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