Organization
AMISADAI PHARMACY LLC
Active
Other names
AMISADAI PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DARYLIS PIRIS (PRESIDENT)
(787) 329-7708
Entity
Organization
Contact information
Practice address
AVENIDA GARRIDO MORALES, ESQUINA CALLE SAN RAFAEL #12, FAJARDO, PR 00738
(787) 657-8577
(787) 657-8584
Mailing address
HC 1 BOX 13216, RIO GRANDE, PR 00745-9621
(787) 657-8577
(787) 657-8584
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
18-F-3409
PR
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163633
PK
—
Enumeration date
12/30/2015
Last updated
01/19/2017
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