Organization
FARMACIA RODRIQUEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIANY RODRIGUEZ (OWNER AND PHARMACIST)
(787) 859-2415
Entity
Organization
Contact information
Practice address
41 CALLE BOU, COROZAL, PR 00783-1949
(787) 859-2415
(787) 859-1478
Mailing address
PO BOX 98, COROZAL, PR 00783-0098
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
096F0064
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4003430
OTHER ID NUMBER
—
Enumeration date
08/30/2007
Last updated
08/30/2007
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