# FARMACIA LA VENTANA INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194938779
- **Authorized official:** MR. JAVIER ALFONSO RODRIGUEZ (MANAGER)
- **Authorized official phone:** (787) 835-3525

## Contact information

- **Practice address:** 129 CALLE LUIS MUNOZ RIVERA, GUAYANILLA, PR 00656-1810
- **Practice address phone:** (787) 835-3524
- **Practice address fax:** (787) 835-1125
- **Mailing address:** 129 CALLE LUIS MUNOZ RIVERA, GUAYANILLA, PR 00656-1810
- **Mailing address phone:** (787) 835-3524
- **Mailing address fax:** (787) 835-1125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 09-F-1967 | PR | Yes |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4019419 | NCPDP | PR |
