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
1	3336C0003X	Community/Retail Pharmacy	07F0859	PR

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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