# FARMACIA LA AMISTAD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farmacia la Amistad Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114907763
- **Authorized official:** SHERLEEN RIVERA (OWNER)
- **Authorized official phone:** (787) 780-2054

## Contact information

- **Practice address:** CARR 863 KM 2.0 BO PAJAROS, TOA BAJA, PR 00949
- **Practice address phone:** (787) 780-2054
- **Practice address fax:** (787) 798-2125
- **Mailing address:** HC 1 BOX 8017, TOA BAJA, PR 00949-9740
- **Mailing address phone:** (787) 780-2054
- **Mailing address fax:** (787) 798-2125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 17F1756 | PR | Yes |

## Other

- **Enumeration date:** 01/19/2006
- **Last updated:** 07/06/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2085077 | PK | — |