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Organization

MARIO DE JESUS CRUZ INC

Active
Other names
Farmacia La Milagrosa
Organization subpart
No

Provider details

NPI number
Authorized official
MARIO DE JESUS CRUZ PHARMACIST (PRESIDENT)
(787) 891-1060
Entity
Organization

Contact information

Practice address
AVE SAN CARLOS ESQ COSMERCIO #1, AGUADILLA, PR 00605
(787) 891-1060
(787) 882-5075
Mailing address
PO BOX 907, AGUADILLA, PR 00605-0907
(787) 891-1060
(787) 882-5075

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
07F0214
PR

Other

Enumeration date
07/02/2006
Last updated
08/22/2020
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