# FARMACIA PUERTO RICO

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

## Provider details

- **NPI number:** 1093930836
- **Authorized official:** MR. PEDRO PEREZ (OWNER)
- **Authorized official phone:** (787) 765-3340

## Contact information

- **Practice address:** 268 AVE PONCE DE LEON, SAN JUAN, PR 00918-2002
- **Practice address phone:** (787) 765-3340
- **Practice address fax:** (787) 756-6939
- **Mailing address:** 268 AVE PONCE DE LEON, SAN JUAN, PR 00918-2002
- **Mailing address fax:** (787) 756-6939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | AF6267353 | PR | Yes |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 08/22/2020