MEDICARE: FARMACIA REMEDIOS INC

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	3336C0003X	Community/Retail Pharmacy	PHY48288	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5624526	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679646202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARMACIA REMEDIOS INC

Provider Business Mailing Address
First Line	:	201 WILLOW ST
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95110-3352
Country	:	US
Telephone Number	:	408-920-0781
Fax Number	:	408-920-0782

Provider Business Practice Location Address
First Line	:	201 WILLOW ST
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95110-3352
Country	:	US
Telephone Number	:	408-920-0781
Fax Number	:	408-920-0782

Authorized Official
Title or Position	:	COO
Name	:	BEN SINGER
Credential	:
Telephone Number	:	415-377-5525

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	10/26/2011

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Directions to “FARMACIA REMEDIOS INC ” Practice Location

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