MEDICARE: FARMACIA YARIMAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0002X	Clinic Pharmacy
2	3336C0003X	Community/Retail Pharmacy	07F1392	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225181167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARMACIA YARIMAR

Provider Business Mailing Address
First Line	:	# 904 CALLE 31 SO
Second Line	:	LAS LOMAS
City	:	SAN JUAN
State	:	PR
Zip	:	00921-2426
Country	:	US
Telephone Number	:	787-792-3196
Fax Number	:	787-781-9220

Provider Business Practice Location Address
First Line	:	URB. LAS LOMAS
Second Line	:	CALLE 31 SO #904
City	:	RIO PIEDRAS
State	:	PR
Zip	:	00921-2426
Country	:	US
Telephone Number	:	787-792-3196
Fax Number	:	787-781-9220

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EDNA M LOPEZ
Credential	:
Telephone Number	:	787-380-3390

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	07/25/2025

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Directions to “FARMACIA YARIMAR ” Practice Location

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