Healthcare Provider Details
I. General information
NPI: 1811043417
Provider Name (Legal Business Name): FARMACIA ZARINET INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/26/2007
Last Update Date: 02/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
CARR 417 KM 4.2 BO MAMEY
AGUADA PR
00602
US
IV. Provider business mailing address
PO BOX 602
AGUADA PR
00602-0602
US
V. Phone/Fax
- Phone: 787-252-1642
- Fax: 787-252-4826
- Phone: 787-252-1642
- Fax: 787-252-4826
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336M0003X |
| Taxonomy | Managed Care Organization Pharmacy |
| License Number | 16F3204 |
| License Number State | PR |
VIII. Authorized Official
Name:
VICTOR
GARCIA
Title or Position: OWNER
Credential:
Phone: 787-252-1642