Organization
SUPER FARMACIA BARBOSA INC
Active
Other names
SUPER FARMACIA BARBOSA
Organization subpart
No
Provider details
NPI number
Authorized official
AIDA DIAZ (ADMINISTRATOR)
(787) 763-8477
Entity
Organization
Contact information
Practice address
327 AVE BARBOSA, SAN JUAN, PR 00917-3314
(787) 763-8477
(787) 765-3461
Mailing address
327 AVE BARBOSA, SAN JUAN, PR 00917-3314
(787) 763-8477
(787) 765-3461
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
15F0606
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2084238
PK
—
Enumeration date
02/05/2007
Last updated
08/27/2013
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