Individual
MRS. WANDA I DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
FARMACIA WALGREENS 12652, BAYAMON, PR 00956-9704
(787) 797-8705
(787) 799-3222
Mailing address
RR 11 BOX 4500, BAYAMON, PR 00956-9704
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4157
PR
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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