Organization
CASA REALTY CORP
Active
Other names
FARMACIA GRITO DE LARES
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS TORRES (MANAGER)
(787) 897-0176
Entity
Organization
Contact information
Practice address
CARR KM 27 4, LARES, PR 00669-1425
(787) 897-0176
(787) 897-0176
Mailing address
PO BOX 1425, LARES, PR 00669-1425
(787) 897-0176
(787) 897-0176
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11F2547
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2087571
PK
—
Enumeration date
09/07/2007
Last updated
12/23/2014
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