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Farmacia Centro Renal INC.

Pharmacy, Community/Retail Pharmacy in Mayaguez, PR. Organization (NPI-2).

NPI number1619002037
StatusActive
Last updated in NPPESAug 7, 2014

Details

NPI
1619002037
Entity type
Organization (NPI-2)
Legal business name
Farmacia Centro Renal INC.
Organization subpart
No
Enumeration date
Feb 23, 2007
Last updated
Aug 7, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy07F1234PRYes

Practice location

1050 Ave Los Corazones
Suite 103
Mayaguez, PR 00680-7042

Phone 787-831-0600 · Fax 787-265-0670

Mailing address

1050 Ave Los Corazones
Suite 103
Mayaguez, PR 00680-7042

Phone 787-831-0600 · Fax 787-265-0670

Authorized official

Minerva De Santiago
Pharmacist
7878310600

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