Provider Demographics
NPI:1780745828
Name:LLANTIN, SYLVIA G (PHARMACIST)
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:G
Last Name:LLANTIN
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CALLE CARRO
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-4043
Mailing Address - Country:US
Mailing Address - Phone:787-892-5290
Mailing Address - Fax:787-264-4440
Practice Address - Street 1:5 CALLE CARRO
Practice Address - Street 2:
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-4043
Practice Address - Country:US
Practice Address - Phone:787-892-5290
Practice Address - Fax:787-264-4440
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4014255OtherNCPDP