# COOP CONSUMIDORES NOROESTE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farmacia Coop Isabela
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194851196
- **Authorized official:** SONIA BERRIOS (STAFF)
- **Authorized official phone:** (787) 872-2590

## Contact information

- **Practice address:** 7032 AVE AGUSTIN RAMOS CALERO, ISABELA, PR 00662-3432
- **Practice address phone:** (787) 872-2590
- **Practice address fax:** (787) 872-5740
- **Mailing address:** PO BOX 740, ISABELA, PR 00662-0740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 09F1776 | PR | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 01/06/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4008175 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |