Organization
MANGUAL & MENCHACA, INC.
Active
Other names
FARMACIA MARISEL # 1
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARISEL MENCHACA (PRESIDENT)
(787) 852-4180
Entity
Organization
Contact information
Practice address
NOYA & HERNANDEZ # 2, HUMACAO, PR 00791
(787) 852-4180
(787) 285-4055
Mailing address
PO BOX 8567, HUMACAO, PR 00792-8567
(787) 852-4180
(787) 285-4055
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
Primary
07-F-1209
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4011970
NABP
PR
Enumeration date
08/18/2005
Last updated
09/17/2008
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