Doctor Name: | MRS. WILMARIE CERVONI |
NPI Number: | 1992907422 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPHT |
License Number: | 5937 |
Business Practice Address: | 963 Munoz Rivera St. Penuelas, PR - 00624 |
Business Phone Number: | 7878362173 |
Business Fax Number: | 7878366102 |
Mailing Address: | Po Box 560615, GUAYANILLA |
State: | PR |
Postal Code: | 006560615 |
Phone Number: | 7874151668 |
Fax Number: | 7878356681 |
NPI Enumeration Date: | 06/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | 5937 |
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. |