Organization
FARMACIA LORRAINE INC
Active
Other names
FARMACIA LORRAINE INC
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAM DE JESUS SANDEZ RPH (OWNER)
(787) 843-1838
Entity
Organization
Contact information
Practice address
1681 PASEO VILLA FLORES, PONCE, PR 00716-2952
(787) 843-1838
(787) 284-0838
Mailing address
PO BOX 581, MERCEDITA, PR 00715-0581
(787) 843-1838
(787) 284-0838
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
17F1657
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2084728
PK
—
Enumeration date
08/31/2006
Last updated
04/27/2015
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