# NORMA I MEDINA RIVERA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farmacia Guayabal \#2
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104071828
- **Authorized official:** NORMA MEDINA (OWNER)
- **Authorized official phone:** (787) 260-3804

## Contact information

- **Practice address:** CARR. \#1 KM 113.60 BO. CINTRONA, JUANA DIAZ, PR 00795
- **Practice address phone:** (787) 260-3804
- **Practice address fax:** (787) 260-3833
- **Mailing address:** HC 04 BO 8191, JUANA DIAZ, PR 00795-9872
- **Mailing address phone:** (787) 260-3804
- **Mailing address fax:** (787) 260-3833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 20-F-3371 | PR | Yes |

## Other

- **Enumeration date:** 11/21/2008
- **Last updated:** 06/11/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2118303 | PK | — |