# FARMACIA MEDINA 3 INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1083650014
- **Authorized official:** SAMUEL MEDINA (PRESIDENT)
- **Authorized official phone:** (787) 438-4798

## Contact information

- **Practice address:** AVE COMANDANTE ESQ AVE CAMP RICO, COUNTRY CLUB CAROLINA, PR 00984
- **Practice address phone:** (787) 752-5111
- **Practice address fax:** (787) 257-3585
- **Mailing address:** PO BOX 3420, CAROLINA, PR 00984-3420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07F0564 | PR | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4018049 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |