Provider Demographics
NPI:1649303710
Name:TORRES, JOANNIE (PHARMACIST TECH)
Entity type:Individual
Prefix:MISS
First Name:JOANNIE
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:PHARMACIST TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND. PASEO HORIZONTE II,
Mailing Address - Street 2:SUITE 31
Mailing Address - City:SALINAS
Mailing Address - State:PR
Mailing Address - Zip Code:00751
Mailing Address - Country:US
Mailing Address - Phone:787-824-4555
Mailing Address - Fax:787-824-6333
Practice Address - Street 1:COND. PASEO HORIZONTE II, APTO C-7
Practice Address - Street 2:SUITE 31
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00751
Practice Address - Country:US
Practice Address - Phone:787-824-4555
Practice Address - Fax:787-824-6333
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17153183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician