Organization
RM SUPERMARKET SAN PATRICIO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA DIAZ (CHIEF PHARMACIST)
(787) 640-7362
Entity
Organization
Contact information
Practice address
CENTRAL PLAZA SHOPPING CENTER SUITE #1, SAN JUAN, PR 00920
(787) 705-0938
(787) 705-8675
Mailing address
CENTRAL PLAZA SHOPPING CENTER SUITE #1, 1645 JESUS T.PINERO AVE., SAN JUAN, PR 00920
(787) 705-0938
(787) 705-8675
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
19-F-3473
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175387
PK
—
Enumeration date
03/13/2017
Last updated
05/25/2018
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