Healthcare Provider Details

I. General information

NPI: 1134622673
Provider Name (Legal Business Name): MARIA DEL MAR MARRERO ROSARIO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2018
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WALGREENS ELJIBARO AVE & PR 172
CIDRA PR
00739
US

IV. Provider business mailing address

WALGREENS 5800 AVE JESUS T PINERO, KM 55.4 INT
CAYEY PR
00737
UM

V. Phone/Fax

Practice location:
  • Phone: 787-739-4386
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number006547
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: