Provider Demographics
NPI:1417720640
Name:MEJIAS-SOTO, JOSETTE MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOSETTE
Middle Name:MARIE
Last Name:MEJIAS-SOTO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 CALLE SOLANDRA
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-3348
Mailing Address - Country:US
Mailing Address - Phone:787-398-8439
Mailing Address - Fax:
Practice Address - Street 1:CARR. PR-2 KM. 77.6
Practice Address - Street 2:BARRIO HALTO ABAJO
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-880-4240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8094183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist