Organization
COSSMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLYBETH LEBRON RODRIGUEZ (TECNICA DE FARMACIA)
(787) 739-8182
Entity
Organization
Contact information
Practice address
50 CALLE ULISES MARTINEZ N, HUMACAO, PR 00791-3636
(787) 739-8182
(787) 285-1232
Mailing address
PO BOX 535, HUMACAO, PUERTO RICO 00792
(787) 559-7917
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
9515
PR
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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