# FARMACIA LA FE REFORMADA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farmacia La Fe 1
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063555357
- **Authorized official:** RAUL QUESADA (PHARMACIST)
- **Authorized official phone:** (787) 844-3155

## Contact information

- **Practice address:** CALLE VICTORIA, STE 108, PONCE, PR 00730-3767
- **Practice address phone:** (787) 844-3155
- **Practice address fax:** (787) 848-0858
- **Mailing address:** CALLE VICTORIA, STE 108, PONCE, PR 00730-3767
- **Mailing address phone:** (787) 842-3201
- **Mailing address fax:** (787) 848-0858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 17F0363 | PR | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 09/21/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2130998 | PK | — |