Provider Demographics
NPI:1124144803
Name:PEREA LPOEZ, NORMA (PHARMASIST)
Entity type:Individual
Prefix:
First Name:NORMA
Middle Name:
Last Name:PEREA LPOEZ
Suffix:
Gender:F
Credentials:PHARMASIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LL2 CALLE MIDDLE
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5962
Mailing Address - Country:US
Mailing Address - Phone:787-720-8011
Mailing Address - Fax:
Practice Address - Street 1:LL2 CALLE MIDDLE
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-5962
Practice Address - Country:US
Practice Address - Phone:787-720-8011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4095183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist