Healthcare Provider Details

I. General information

NPI: 1790970622
Provider Name (Legal Business Name): FARMACIA LOS ANGELES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2007
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CAR 602 KM 0 HM .6
ANGELES PR
00611-0359
US

IV. Provider business mailing address

PO BOX 359
ANGELES PR
00611-0359
US

V. Phone/Fax

Practice location:
  • Phone: 787-894-7535
  • Fax: 787-829-4962
Mailing address:
  • Phone: 787-894-7535
  • Fax: 787-829-4962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number07F1045
License Number StatePR

VIII. Authorized Official

Name: GABRIEL GARCIA
Title or Position: OWNER
Credential:
Phone: 787-894-7535