# NORTHWEST PHARMACY GROUP LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farmacia El Eden
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093872780
- **Authorized official:** RICARDO A MARCHESE (OWNER)
- **Authorized official phone:** (787) 636-1512

## Contact information

- **Practice address:** CARR. 110 KM 22.9 BARRIO CEIBA BAJA, AGUADILLA, PR 00603
- **Practice address phone:** (787) 882-2000
- **Practice address fax:** (787) 891-8614
- **Mailing address:** 81 URB.ALTAMIRA, LARES, PR 00669
- **Mailing address phone:** (787) 636-1512
- **Mailing address fax:** (787) 891-8614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 09/30/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 038243000 | — | PR |
| 01 | — | 4018708 | NCPDP OR NABP NUMBER | PR |