| Doctor Name: | MYRA JUAN |
| NPI Number: | 1417061441 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHARMACY TECHNICIAN |
| License Number: | 2126 |
| Business Practice Address: | Bo Campamento 500 Carr 149 Suite 01 Ciales, PR - 006389661 |
| Business Phone Number: | 7878713105 |
| Business Fax Number: | 7878713122 |
| Mailing Address: | 412 Calle Tulain, Estancias De Tortuguero VEGA BAJA |
| State: | PR |
| Postal Code: | 00693 |
| Phone Number: | 7878587596 |
| Fax Number: | |
| NPI Enumeration Date: | 08/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 183700000X |
| License Number: | 2126 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacy Technician |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |