MEDICARE: FARMACIA MARILU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	09-F-2200	PR

General Provider Information

NPI Number	:	1184660680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARMACIA MARILU

Provider Business Mailing Address
First Line	:	165 CALLE SAN FELIPE
Second Line	:
City	:	ARECIBO
State	:	PR
Zip	:	00612-4605
Country	:	US
Telephone Number	:	787-878-1120
Fax Number	:	787-817-4678

Provider Business Practice Location Address
First Line	:	165 CALLE SAN FELIPE
Second Line	:
City	:	ARECIBO
State	:	PR
Zip	:	00612-4605
Country	:	US
Telephone Number	:	787-878-1120
Fax Number	:	787-817-4678

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. SARA SANTIAGO
Credential	:
Telephone Number	:	787-878-1120

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	01/26/2011

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Directions to “FARMACIA MARILU ” Practice Location

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