Healthcare Provider Details

I. General information

NPI: 1932367299
Provider Name (Legal Business Name): GO FARMA CHRISMAR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2008
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 472 KM 2.3 AVE ESTACION 357
ISABELA PR
00662
US

IV. Provider business mailing address

PO BOX 3543
AGUADILLA PR
00605-3543
US

V. Phone/Fax

Practice location:
  • Phone: 787-830-8585
  • Fax: 787-609-6190
Mailing address:
  • Phone: 787-431-4619
  • Fax: 787-830-8585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number20-F-2610
License Number StatePR

VIII. Authorized Official

Name: FELIX GUERRA
Title or Position: PHARMACIST
Credential:
Phone: 787-431-4619