# FARMACIA SAGRADO CORAZAN

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

## Provider details

- **NPI number:** 1205911740
- **Authorized official:** MRS. MARIBEL BELTRAN RPH (PHARMACIST/OWNER)
- **Authorized official phone:** (787) 826-3190

## Contact information

- **Practice address:** CARR 402 KM 6.0, BO. PINALES, ANASCO, PR 00610-3000
- **Practice address phone:** (787) 826-3190
- **Practice address fax:** (787) 826-3190
- **Mailing address:** PO BOX 2065, ANASCO, PR 00610-3000
- **Mailing address phone:** (787) 826-3190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 07-F-2073 | PR | — |
| 3336C0003X | Community/Retail Pharmacy | 07-F-2073 | PR | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 08/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4023975 | NCPDP | PR |