Provider First Line Business Practice Location Address:
327 AVE BARBOSA
Provider Second Line Business Practice Location Address:
SUPER FARMACIA BARBOSA
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00917-3314
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-763-8477
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/26/2006