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Organization

FARMACIA SAN RAFAEL SANTURCE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAFAEL ANGEL DIAZ REYES PH T. (ADMINISTRATOR)
(787) 724-3333
Entity
Organization

Contact information

Practice address
851 CALLE LAFAYETTE, PDA 20, SAN JUAN, PR 00909-2627
(787) 724-3333
(787) 721-4165
Mailing address
851 CALLE LAFAYETTE, PDA 20, SAN JUAN, PR 00909-2627
(787) 724-3333
(787) 721-4165

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
17-F-2298
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17-F-2298
STATE LICENSE
PR
Enumeration date
02/20/2007
Last updated
03/07/2023
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