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Individual

JOSE A. DOMENECH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
TECNICO DE FARMACIA

Contact information

Practice address
AVE. CORAZONES VILLA SULTANITA, CARRETERA ESTATAL #2 BO. SABALOS, MAYAGUEZ, PR 00680-0000
(787) 833-8700
(787) 265-5155
Mailing address
PO BOX 1570 AVE. CORAZONES VILLA SULTANITA,, CARRETERA ESTATAL #2 BO SABALOS, MAYAGUEZ, PR 00681-1570
(787) 833-8700
(787) 265-5155

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary

Other

Enumeration date
07/22/2011
Last updated
07/22/2011
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