Individual
KAREN D LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4729
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
092189
BOARD OF PHARMACY
PR
01
—
4729
PHARMACIST LICENSE
PR
Enumeration date
07/11/2019
Last updated
07/11/2019
Update your record
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