Edward Colon

Individual provider Active NPI Pharmacy Technician · Moca, PR

NPI 1013222348 · NPPES record last updated Aug 11, 2010

Key facts

NPI
1013222348
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
8342 (PR)
Practice address
HC 05 Box 10327
Moca, PR 00676
Phone
(787) 487-7573
NPI assigned
Aug 11, 2010
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 8342 PR Yes

Addresses

Primary practice location

HC 05 Box 10327
Moca, PR 00676

Mailing address

HC 5 Box 10327
Moca, PR 00676-9721
Phone (787) 487-7573

Other identifiers

IdentifierTypeStateIssuer
FARMACIA1234OtherPRPHARMACY

Other providers in Moca, PR

All providers in Moca, PR · Pharmacy Technician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.