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NPI Code Detail

MEDICARE: SUPER FARMACIA SANTA MONICA

MEDICARE: SUPER FARMACIA SANTA MONICA
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
13336C0003XCommunity/Retail Pharmacy07F0859PR

General Provider Information

NPI Number : 1811038417
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUPER FARMACIA SANTA MONICA
Provider Business Mailing Address
First Line : A17 CALLE 13
Second Line : SANTA MONICA
City : BAYAMON
State : PR
Zip : 00957-1807
Country : US
Telephone Number : 787-786-0455
Fax Number :
Provider Business Practice Location Address
First Line : A17 CALLE 13
Second Line : SANTA MONICA
City : BAYAMON
State : PR
Zip : 00957-1807
Country : US
Telephone Number : 787-786-0455
Fax Number : 787-787-4502
Authorized Official
Title or Position : PHARMACIST-OWNER
Name : MRS. LYNETTE O FIGUEROA
Credential : RPH
Telephone Number : 787-786-0455
Provider Enumeration Date : 02/08/2007
Last Update Date : 08/22/2020

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Directions to “SUPER FARMACIA SANTA MONICA ” Practice Location

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