# FARMACIA SAN ANTONIO DE BAYAMON INC.

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

## Provider details

- **NPI number:** 1053616359
- **Authorized official:** MR. VICTOR M ARROYO (PRESIDENT)
- **Authorized official phone:** (787) 795-6000

## Contact information

- **Practice address:** 103 CALLE ANTONIO PRINCIPE, BAYAMON, PR 00961-3200
- **Practice address phone:** (787) 795-6000
- **Practice address fax:** (787) 795-6009
- **Mailing address:** PO BOX 1598, VEGA ALTA, PR 00692-1598
- **Mailing address phone:** (787) 795-6000
- **Mailing address fax:** (787) 795-6009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 12-F-2910 | PR | Yes |

## Other

- **Enumeration date:** 01/18/2011
- **Last updated:** 01/18/2011