Provider Demographics
NPI:1558584599
Name:TROCHE, LOURDES IVETTE (PHARMACY TECHNICIAN)
Entity Type:Individual
Prefix:
First Name:LOURDES
Middle Name:IVETTE
Last Name:TROCHE
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9031
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00988-9031
Mailing Address - Country:US
Mailing Address - Phone:787-752-6246
Mailing Address - Fax:787-762-4070
Practice Address - Street 1:MONSERRATE AVE.
Practice Address - Street 2:MONSERRATE SHOPPING CENTER,
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-752-6246
Practice Address - Fax:787-762-4070
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR002733183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician