Organization
FARMACIA SAN MIGUEL SL INC
Active
Other names
Farmacia San Miguel SL Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE ROSA (SECRETARY)
(939) 218-1073
Entity
Organization
Contact information
Practice address
CARRT. 181 KM 0.6 INT. CARRT. 183, SAN LORENZO, PR 00754
(787) 736-2900
(787) 736-2800
Mailing address
PO BOX 593, GURABO, PR 00778-0593
(939) 218-1073
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
14F3020
PR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4028115
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/24/2012
Last updated
04/24/2012
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