Organization
SUPER FARMACIA DERKES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA SUED (PHARM D)
(787) 864-2516
Entity
Organization
Contact information
Practice address
8 CALLE DERKES E, GUAYAMA, PR 00784-4936
(787) 864-2112
Mailing address
PO BOX 2133, GUAYAMA, PR 00785-2133
(787) 864-2112
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
BF3104724
PR
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4018619
NABP
PR
Enumeration date
09/20/2006
Last updated
07/15/2024
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