Organization
SUPER FARMACIA REBECA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALILA BULA B.S.P.H./M.S.PH (PHARMACIST OWNER)
(787) 872-2410
Entity
Organization
Contact information
Practice address
80 AVE NOEL ESTRADA, ISABELA, PR 00662-3102
(787) 872-2410
(787) 830-6262
Mailing address
80 AVE NOEL ESTRADA, ISABELA, PR 00662-3102
(787) 872-2410
(787) 830-6262
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
07-F-1962
PR
Other
Enumeration date
10/03/2005
Last updated
03/17/2016
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