Midway Pharmacy

LBN: Midway Pharmacy
Midway Pharmacy is an health care organization with primary practice located at Bo Rayo Carr 117 Int 121 Km 4 2 , Sabana Grande PR 00637. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Midway Pharmacy can be contacted via phone (787) 873-1480, or through Dominguez, Lillain via phone (787) 873-1480.

Contact Information

Primary practice address
Bo Rayo Carr 117 Int 121 Km 4 2 Sabana Grande PR 00637
Phone: (787) 873-1480
Fax: (787) 804-1480
Website:
Map and Directions
Authorized official contact:
Name: Dominguez, Lillain RPH
Phone: (787) 873-1480

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 07F2067 Puerto Rico
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1477595015
LBN Legal business name Midway Pharmacy
DBA Doing business as
Authorized official Dominguez, Lillain RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477595015 NPPES
Other 4023937 OTHER ID NUMBER-COMMERCIAL NUMBER

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