Healthcare Provider Details

I. General information

NPI: 1639390867
Provider Name (Legal Business Name): FARMACIA COMUNIDAD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 677 KM 12 MARICAO
VEGA ALTA PR
00692
US

IV. Provider business mailing address

PO BOX 2573
VEGA BAJA PR
00692
US

V. Phone/Fax

Practice location:
  • Phone: 787-270-0175
  • Fax: 787-270-1976
Mailing address:
  • Phone: 787-270-0175
  • Fax: 787-270-1976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: I SALGADO BERMUDEZ
Title or Position: PRESIDENTA
Credential:
Phone: 787-270-0175