Organization
PRESTAMO PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEFINA PRESTAMO (PHARMACY)
(787) 644-8663
Entity
Organization
Contact information
Practice address
CARR. 867 KM 5.4, #204, TOA BAJA, PR 00949
(787) 644-8663
Mailing address
PO BOX 682, TOA BAJA, PR 00951-0682
(787) 644-8663
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
PR
3336C0003X
Community/Retail Pharmacy
Primary
15-F-3142
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4028595
NCPCP
PR
Enumeration date
07/15/2013
Last updated
11/01/2013
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