Healthcare Provider Details

I. General information

NPI: 1780684985
Provider Name (Legal Business Name): FARMACIA YARIMAR II
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RR 3 BOX 1077
TOA ALTA PR
00953-9803
US

IV. Provider business mailing address

RR 3 BOX 1077
TOA ALTA PR
00953-9803
US

V. Phone/Fax

Practice location:
  • Phone: 787-799-2177
  • Fax: 787-279-0156
Mailing address:
  • Phone: 787-799-2177
  • Fax: 787-279-0156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number03016
License Number StatePR

VIII. Authorized Official

Name: MISS EDNA M LOPEZ
Title or Position: OWNER
Credential:
Phone: 787-799-2177