# FARMACIA MIA BLVD LLC

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

## Provider details

- **NPI number:** 1043131980
- **Authorized official:** SONIMAR B MUNIZ ROSARIO (OWNER)
- **Authorized official phone:** (787) 640-8183

## Contact information

- **Practice address:** AVE. BOULEVARD, NUM. J-2725, URB. LEVITTOWN, TOA BAJA, PR 00949
- **Practice address phone:** (787) 330-0240
- **Mailing address:** 100 PLAZA PRADERA ST 20 PMB 161, TOA BAJA, PR 00949
- **Mailing address phone:** (787) 330-0240
- **Mailing address fax:** (787) 330-0241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/24/2026
- **Last updated:** 07/24/2026