Provider First Line Business Practice Location Address:
155 CALLE RAMON E BETANCES
Provider Second Line Business Practice Location Address:
FARMACIA SAN JOSE
Provider Business Practice Location Address City Name:
ARECIBO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00612-4640
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-878-1035
Provider Business Practice Location Address Fax Number:
787-878-1035
Provider Enumeration Date:
03/12/2007