# FARMACIA MEDICAL PLAZA

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

## Provider details

- **NPI number:** 1053648618
- **Authorized official:** DARYLIS PIRIS (PHARMACY TECHNICIAN)
- **Authorized official phone:** (787) 286-1694

## Contact information

- **Practice address:** CARRETERA \#1 BARRIO TURABO CONSOLIDATED MALL, LOCAL C 31C, CAGUAS, PR 00725
- **Practice address phone:** (787) 286-1694
- **Mailing address:** HC 8 BOX 39533, CAGUAS, PR 00725-9671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 11-F-2774 | PR | Yes |

## Other

- **Enumeration date:** 11/03/2009
- **Last updated:** 11/03/2009