MEDICARE: FARMACIA VENUS INC

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	17-F-2956	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2131198	OTHER		PK

General Provider Information

NPI Number	:	1871594531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARMACIA VENUS INC

Provider Business Mailing Address
First Line	:	19 CALLE ACUARIO
Second Line	:	STE 16 VENUS GARDENS PLAZA
City	:	SAN JUAN
State	:	PR
Zip	:	00926-4933
Country	:	US
Telephone Number	:	787-761-4990
Fax Number	:	787-748-1935

Provider Business Practice Location Address
First Line	:	19 CALLE ACUARIO
Second Line	:	STE 16 VENUS GARDENS PLAZA
City	:	SAN JUAN
State	:	PR
Zip	:	00926-4933
Country	:	US
Telephone Number	:	787-761-4990
Fax Number	:	787-748-1935

Authorized Official
Title or Position	:	PHARMACIST
Name	:	ROBERTO RODRIGUEZ
Credential	:
Telephone Number	:	787-761-4990

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	04/26/2016

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Directions to “FARMACIA VENUS INC ” Practice Location

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