Farmacia La 110

NPI #1124694658 in Moca, Puerto Rico

Provider Information

NPI Number: 1124694658
Entity Type: Organization
Organization Name: Farmacia La 110
Primary Specialty: Pharmacist
Enumeration Date: Jun 3, 2021
Last Updated: Jun 3, 2021

Practice Location

Address: CARR 110 KM 13.0
Address 2: BO PUEBLO
City: Moca
State: Puerto Rico
ZIP Code: 00676-0057
Phone: (787) 877-0110

Authorized Official

Name: AIZA PEREZ, RPH
Title: OWNER
Phone: (787) 375-0430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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