Provider First Line Business Practice Location Address:
FARMACIA LUIS DE P.R.,CENTRO COMERCIAL LAGUNA GARDENS
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAROLINA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00979
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-791-2171
Provider Business Practice Location Address Fax Number:
787-253-1002
Provider Enumeration Date:
02/09/2007