Organization
SUPER FARMACIA RODRIGUEZ
Active
Other names
Super Farmacia Rodriguez
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS SANCHEZ (OWNER)
(787) 859-2415
Entity
Organization
Contact information
Practice address
41 CALLE BOU, COROZAL, PR 00783-2025
(787) 859-2415
(787) 859-2415
Mailing address
41 CALLE BOU, COROZAL, PR 00783-2025
(787) 859-2415
(787) 859-2415
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
19F3433
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168261
PK
—
Enumeration date
04/19/2017
Last updated
04/19/2017
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