=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417046228
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FARMACIA RIMARI, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/11/2006
-----------------------------------------------------
Last Update Date | 05/18/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 49 RUIZ BELVIS CENTRO URBANO
-----------------------------------------------------
City | CAGUAS
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00725
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-744-1441
-----------------------------------------------------
Fax | 787-258-8223
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 49 RUIZ BELVIS CENTRO URBANO
-----------------------------------------------------
City | CAGUAS
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00725-3510
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-744-1441
-----------------------------------------------------
Fax | 787-258-8223
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PHARMACIST IN CHARGE(PIC)
-----------------------------------------------------
Name | DIANA E LOPEZ FIGUEROA
-----------------------------------------------------
Credential | PHARMD
-----------------------------------------------------
Telephone | 787-210-8994
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 09-F-1723
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------