Provider Demographics
NPI:1902922685
Name:NORAT, MYRNA LUZ (RPH)
Entity Type:Individual
Prefix:
First Name:MYRNA
Middle Name:LUZ
Last Name:NORAT
Suffix:
Gender:F
Credentials:RPH
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 219
Mailing Address - Street 2:
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769-0219
Mailing Address - Country:US
Mailing Address - Phone:787-825-8046
Mailing Address - Fax:
Practice Address - Street 1:A # 10 URB. VISTA DEL SOL
Practice Address - Street 2:MARGINAL
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769
Practice Address - Country:US
Practice Address - Phone:787-825-2290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4034183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist