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Contact Information

AMISADAI PHARMACY LLC
AVENIDA GARRIDO MORALES
ESQUINA CALLE SAN RAFAEL #12
FAJARDO, PR00738
 Phone: 787-657-8577
 Fax: 787-657-8584
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for AMISADAI PHARMACY LLC

NPI Number 1972968303
LBN Legal business name AMISADAI PHARMACY LLC
Authorized official DARYLIS PIRIS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/30/2015
Last updated 01/19/2017 - About 9 years ago
Identifiers
PR License # 18-F-3409
Other 2163633 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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