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Organization

FARMACIA SAGRADO, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ILIANETTE MIRANDA RPH. (PRESIDENT)
(787) 448-5914
Entity
Organization

Contact information

Practice address
CALLE ANGEL G. MARTINEZ 3, SABANA GRANDE, PR 00637
(939) 910-7920
(939) 910-7921
Mailing address
PO BOX 539, SABANA GRANDE, PR 00637-0539
(939) 910-7920
(939) 910-7921

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
038210600
PR
Enumeration date
10/03/2012
Last updated
06/24/2025
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