Organization Name: | SAN SEBASTIAN FARMACY EXPRESS |
NPI Number: | 1104844364 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYMARIS RIVERA (OWNER) |
Mailing Address: | Carr 119 Km 38 Hm1 Bo Calabaza San Sebastian |
State: | PR US |
Postal Code: | 00685 |
Phone Number: | 7878964747 |
Fax Number: | 7878964747 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BD1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Dialysis Equipment & Supplies |
Taxonomy Definition: |