Organization
NEOMED CENTER, INC.
Active
Other names
NeoMed Center- SL Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSA T. CASTRO-AVILA M.D. (CEO)
(787) 737-2311
Entity
Organization
Contact information
Practice address
11 CALLE CONDADO, SAN LORENZO, PR 00754
(787) 737-2311
(787) 737-0244
Mailing address
PO BOX 1277, GURABO, PR 00778-1277
(787) 737-2311
(787) 737-0244
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-F-3134
LICENSE NUMBER
PR
01
—
2118076
PK
—
Enumeration date
07/16/2008
Last updated
11/19/2015
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