# FARMACIA REPARTO

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

## Provider details

- **NPI number:** 1063548741
- **Authorized official:** MR. JOSE ORLANDO LLAVONA RPH (OWNER)
- **Authorized official phone:** (787) 892-5264

## Contact information

- **Practice address:** 79 AVE UNIV INTERAMERICANA, SAN GERMAN, PR 00683-4338
- **Practice address phone:** (787) 892-5264
- **Practice address fax:** (787) 892-4577
- **Mailing address:** AVE. UNIVERSIDAD INTERAMERICANA, CARR 114 KM15 HM 2, SAN GERMAN, PR 00683
- **Mailing address phone:** (787) 892-5264
- **Mailing address fax:** (787) 892-4577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07F1122 | PR | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 03/28/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4014990 | NABP NUMBER | PR |