Organization
MAYAGUEZ CENTER DRUGSTORE INC
Active
Other names
Mayaguez Center Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
TOMAS MOLINA (MANAGER)
(787) 629-7709
Entity
Organization
Contact information
Practice address
7 MENDEZ VIGO W, STE 4, MAYAGUEZ, PR 00680-6668
(787) 833-0277
(787) 834-5925
Mailing address
7 MENDEZ VIGO W, STE 4, MAYAGUEZ, PR 00680-6668
(787) 833-0277
(787) 834-5925
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10F2683
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4026589
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/05/2008
Last updated
10/22/2010
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