Healthcare Provider Details

I. General information

NPI: 1598819211
Provider Name (Legal Business Name): FARMACIAS YARIMAR INC.
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

CARR. 829 KM 2.0 BARRIO ORTIZ
TOA ALTA PR
00954
US

IV. Provider business mailing address

RR 3 BOX 10777
TOA ALTA PR
00953-6433
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 Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number07F2124
License Number StatePR

VIII. Authorized Official

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