MEDICARE: FARMACIA YARIMAR II

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	333600000X	Pharmacy	03016	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
2	4024092	OTHER	PR	PHARMACY

General Provider Information

NPI Number	:	1780684985
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARMACIA YARIMAR II

Provider Business Mailing Address
First Line	:	RR 3 BOX 1077
Second Line	:
City	:	TOA ALTA
State	:	PR
Zip	:	00953-9803
Country	:	US
Telephone Number	:	787-799-2177
Fax Number	:	787-279-0156

Provider Business Practice Location Address
First Line	:	RR 3 BOX 1077
Second Line	:
City	:	TOA ALTA
State	:	PR
Zip	:	00953-9803
Country	:	US
Telephone Number	:	787-799-2177
Fax Number	:	787-279-0156

Authorized Official
Title or Position	:	OWNER
Name	:	MISS EDNA M LOPEZ
Credential	:
Telephone Number	:	787-799-2177

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	06/19/2025

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Directions to “FARMACIA YARIMAR II ” Practice Location

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