# FARMACIA VALLEMAR LLC

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

## Provider details

- **NPI number:** 1194937474
- **Authorized official:** RAFAEL A MUNOZ (PRESIDENT)
- **Authorized official phone:** (787) 785-2458

## Contact information

- **Practice address:** Z1 AVE CARLOS JAVIER ANDALUZ, BAYAMON, PR 00956-3467
- **Practice address phone:** (787) 785-2458
- **Practice address fax:** (787) 785-2458
- **Mailing address:** PO BOX 11175, SAN JUAN, PR 00922-1175
- **Mailing address phone:** (787) 785-2458
- **Mailing address fax:** (787) 785-2458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 09-F-1655 | PR | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 01/27/2019