# GLADYS VELEZ MORALES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SUPER FARMACIA FAMILIAR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114969789
- **Authorized official:** GLADYS VELEZ- MORALES RPH (OWNER / PHARMACIST)
- **Authorized official phone:** (787) 877-7322

## Contact information

- **Practice address:** CARR 420 KM 0.5 BO VOLADORAS, MOCA, PR 00676
- **Practice address phone:** (787) 877-7322
- **Practice address fax:** (787) 877-3342
- **Mailing address:** PO BOX 1563, MOCA, PR 00676-1563
- **Mailing address phone:** (787) 877-7322
- **Mailing address fax:** (787) 877-3342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 19-F-0196 | PR | Yes |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 04/11/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2084662 | PK | — |