# FARMACIA ALEXANDRA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FARMACIA ALEXANDRA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083640718
- **Authorized official:** GILBERT BENITEZ (OWNER)
- **Authorized official phone:** (787) 594-2125

## Contact information

- **Practice address:** 1107 WILLIAM JONES ST, 1ST FLOOR, RIO PIEDRAS, PR 00927
- **Practice address phone:** (787) 767-4078
- **Practice address fax:** (787) 758-3555
- **Mailing address:** PO BOX 20375, SAN JUAN, PR 00928-0375
- **Mailing address phone:** (787) 767-4078
- **Mailing address fax:** (787) 758-3555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 12F2268 | PR | Yes |

## Other

- **Enumeration date:** 06/24/2006
- **Last updated:** 01/25/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4006020 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |