Organization
MUNICIPALITY OF SAN JUAN PR
Active
Other names
Farmacia Complejo Medico Social
Organization subpart
No
Provider details
NPI number
Authorized official
LUZ COSME SANCHEZ (REGENT PHARMACYST)
(787) 767-7676
Entity
Organization
Contact information
Practice address
AVENIDA 65 DE INFANTERIA KM.3.4 BO. SABANA LLANA RIO PI, RIO PIEDRAS, PR 00926
(787) 767-7676
(787) 765-1340
Mailing address
AVENIDA 65 DE INFANTERIA KM.3.4 BO. SABANA LLANA RIO PI, RIO PIEDRAS, PR 00926
(787) 767-7676
(787) 765-1340
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11F0090
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4027086
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/11/2009
Last updated
12/11/2009
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