# SUPER FARMACIA AMADEO INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Super Farmacia Amadeo Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174828461
- **Authorized official:** ORLANDO GONZALEZ (PRESIDENT)
- **Authorized official phone:** (787) 346-3146

## Contact information

- **Practice address:** CARRETERA 670 KM 8.4, SECTOR ALGARROBO, VEGA BAJA, PR 00693
- **Practice address phone:** (787) 855-3473
- **Practice address fax:** (787) 807-5533
- **Mailing address:** SUPER FARMACIA AMADEO INC., 74 CARR. 670, VEGA BAJA, PR 00693-5155
- **Mailing address phone:** (787) 855-3473
- **Mailing address fax:** (787) 807-5533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 12-F2914 | PR | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 01/18/2011
- **Last updated:** 04/09/2012