# SU FARMACIA MODELO Z.P. INC.

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

## Provider details

- **NPI number:** 1174651475
- **Authorized official:** MR. ISRAEL ARCE (TECHNICIAN)
- **Authorized official phone:** (787) 896-1154

## Contact information

- **Practice address:** M.J. CABRERO 54, SAN SEBASTIAN, PR 00685
- **Practice address phone:** (787) 896-1154
- **Mailing address:** ST. 5 \# D30 URB. VENTURINI, SAN SEBASTIAN, PR 00685
- **Mailing address phone:** (787) 896-5954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 003018 | PR | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 08/22/2020