Individual
MRS. WILMA AGOSTO ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
86 GERGTI RIO PIEDRAS, SAN JUAN, SAN JUAN, PR 00928-0122
(787) 757-6762
(787) 772-9221
Mailing address
PO BOX 20122, SAN JUAN, SAN JUAN, PR 00928-0122
(787) 757-6762
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2287
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2287
LIC DE PR
PR
Enumeration date
02/07/2007
Last updated
07/08/2007
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