Healthcare Provider Details

I. General information

NPI: 1174754881
Provider Name (Legal Business Name): FARMACIA CENTRO SALUD FAMILIAR ARAGO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2009
Last Update Date: 10/19/2021
Certification Date: 10/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE MORSE ESQ VALENTINA #46
ARROYO PR
00714-0450
US

IV. Provider business mailing address

P O BOX 450
ARROYO PR
00714-0450
US

V. Phone/Fax

Practice location:
  • Phone: 787-839-4150
  • Fax: 787-839-1001
Mailing address:
  • Phone: 787-839-4150
  • Fax: 787-839-3989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number11-F-1437
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number11-F-1437
License Number StatePR

VIII. Authorized Official

Name: GLORIANN M RAMIREZ
Title or Position: CEO / EXECUTIVE DIRECTOR
Credential:
Phone: 787-839-4150