Organization
JMMR ENTERPRISE INC
Active
Other names
Leguisamo Pharmacy & More
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA RIVERA (PRESIDENT JMMR ENTERPRISE INC)
(787) 612-2865
Entity
Organization
Contact information
Practice address
CARR 352 KM 4.6 BARRIO LEGUISAMO, MAYAGUEZ, PR 00681
(787) 652-4595
(787) 652-4593
Mailing address
PO BOX 411, LAS MARIAS, PR 00670-0411
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
19-F-3095
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138749
PK
—
Enumeration date
01/24/2013
Last updated
03/06/2017
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