Organization
TEODORO RIVERA RIVERA
Active
Other names
FARMACIA SAN FRANCISCO
Organization subpart
No
Provider details
NPI number
Authorized official
TEODORO RIVERA (OWNER)
(787) 858-2784
Entity
Organization
Contact information
Practice address
4 CALLE E BETANCES, VEGA BAJA, PR 00693-4463
(787) 858-2784
(787) 858-2784
Mailing address
4 CALLE E BETANCES, VEGA BAJA, PR 00693-4463
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
09F0068
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4015966
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/12/2007
Last updated
01/06/2009
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