Organization
HEALTH ADMIN SVC INC
Active
Other names
FARMACIA SNF LA CASA DEL VETERANO
Organization subpart
No
Provider details
NPI number
Authorized official
JERGE PAOLI BRUNO MD (MEDICAL DIRECTOR)
(787) 381-0247
Entity
Organization
Contact information
Practice address
CARR 592 NUM 15 BO AMUELAS, JUANA DIAZ, PR 00795-2872
(787) 837-6574
(787) 260-0034
Mailing address
PO BOX 194288, SAN JUAN, PR 00919-4288
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
07F2156
PR
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4025195
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/11/2006
Last updated
01/09/2013
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