Organization
HIGHWAY PHARMACY MALL INC
Active
Other names
Highway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOMARIE ORTIZ RIVERA PHARM.D. (PRESIDENT/CHIEF PHARMACIST)
(787) 478-0215
Entity
Organization
Contact information
Practice address
PLAZA OASIS CARR 153 KM 6.2, SANTA ISABEL, PR 00757
(787) 845-6272
(787) 845-6272
Mailing address
PO BOX 1902, COAMO, PR 00769-1902
(787) 845-6272
(787) 845-6272
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
07F2001
PR
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039814600
—
PR
Enumeration date
01/08/2007
Last updated
07/16/2025
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