Provider Demographics
NPI:1619002268
Name:KRIZIAS DRUG
Entity Type:Organization
Organization Name:KRIZIAS DRUG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FARMACEUTICO
Authorized Official - Prefix:
Authorized Official - First Name:MARITZA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-895-5702
Mailing Address - Street 1:CALLE LINARES
Mailing Address - Street 2:#205
Mailing Address - City:QUEBRADILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00678
Mailing Address - Country:US
Mailing Address - Phone:787-895-5702
Mailing Address - Fax:
Practice Address - Street 1:CARR.#2 KM 98.7
Practice Address - Street 2:BO.COCOS
Practice Address - City:QUEBRADILLAS
Practice Address - State:PR
Practice Address - Zip Code:00678
Practice Address - Country:US
Practice Address - Phone:787-895-5702
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
07F1498333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy