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Organization

LATITUD 18 NORTE LLC

Active
Other names
MI FARMACIA DOMINGUEZ Y MUCHO MAS
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BENIGNO DOMINGUEZ (PRESIDENT)
(787) 600-0283
Entity
Organization

Contact information

Practice address
CARR 796 KM 0.3 BO RIO CANAS, SECTOR LA GUASABARA, CAGUAS, PR 00725
(939) 204-9030
(939) 204-9029
Mailing address
GRAN VISTA I, 51 CALLE LA CEIBA, GURABO, PR 00778
(787) 600-0283

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
20-F3553
PR

Other

Enumeration date
05/25/2018
Last updated
05/25/2018
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