Healthcare Provider Details

I. General information

NPI: 1225181167
Provider Name (Legal Business Name): FARMACIA YARIMAR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB. LAS LOMAS CALLE 31 SO #904
RIO PIEDRAS PR
00921-2426
US

IV. Provider business mailing address

# 904 CALLE 31 SO LAS LOMAS
SAN JUAN PR
00921-2426
US

V. Phone/Fax

Practice location:
  • Phone: 787-792-3196
  • Fax: 787-781-9220
Mailing address:
  • Phone: 787-792-3196
  • Fax: 787-781-9220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number07F1392
License Number StatePR

VIII. Authorized Official

Name: EDNA M LOPEZ
Title or Position: PRESIDENT
Credential:
Phone: 787-380-3390