# FARMACIA DE JESUS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013052307
- **Authorized official:** HECTOR EDGARDO DE JESUS (OWNER)
- **Authorized official phone:** (787) 870-0993

## Contact information

- **Practice address:** 27 CALLE MUNOZ RIVERA, ESQ. BARCELO, TOA ALTA, PR 00954
- **Practice address phone:** (787) 870-0993
- **Practice address fax:** (787) 870-0993
- **Mailing address:** PO BOX 1331, TOA ALTA, PR 00954-1331
- **Mailing address phone:** (787) 870-0993
- **Mailing address fax:** (787) 870-0993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07-F-0279 | PR | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 08/22/2020