Healthcare Provider Details

I. General information

NPI: 1770533457
Provider Name (Legal Business Name): ONE STOP PRESCRIPTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 AVE DE DIEGO
SANTURCE PR
00907-2345
US

IV. Provider business mailing address

82 CALLE PITIRRE CHALETS DE BAIROA
CAGUAS PR
00727-1264
US

V. Phone/Fax

Practice location:
  • Phone: 787-977-2007
  • Fax: 787-977-2016
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number08F2358
License Number StatePR

VIII. Authorized Official

Name: PEDRO VANGA FELICIANO
Title or Position: PRESIDENT
Credential: RPH
Phone: 787-751-9606