# FARMACIA MEDINA NUMER 3 INC

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

## Provider details

- **NPI number:** 1194882415
- **Authorized official:** SAMUEL MEDINA (PRESIDENT)
- **Authorized official phone:** (787) 438-4798

## Contact information

- **Practice address:** AVE COMANDANTE, ESQ CAMP RICO, CAROLINA, PR 00984
- **Practice address phone:** (787) 752-5111
- **Practice address fax:** (787) 257-3585
- **Mailing address:** PO BOX 3420, CAROLINA, PR 00984-3420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 16F2658 | PR | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 12/15/2015