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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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