Individual
MRS. BRENDA LEE CANDELARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
CARR #3, KM 78.0, HUMACAO, PR 00791
(787) 209-0959
(787) 738-7121
Mailing address
HC- 45, BOX 13719, CAYEY, PR 00736
(787) 209-0959
(787) 738-7121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4773
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4773
PHARMACY LICENSE
PR
Enumeration date
05/09/2007
Last updated
07/08/2007
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