# ARMANDO RODRIGUEZ LOPEZ

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

## Provider details

- **NPI number:** 1225044464
- **Authorized official:** MR. ARMANDO RODRIGUEZ-LOPEZ JR. RPH (OWNER)
- **Authorized official phone:** (787) 882-1956

## Contact information

- **Practice address:** SUPER FARMACIA JAYLLEN, CARR 110, KM 0.3 BO. CEIBA BAJA, AGUADILLA, PR 00603
- **Practice address phone:** (787) 882-1956
- **Mailing address:** PO BOX 715, ISABELA, PR 00662-0715
- **Mailing address phone:** (787) 882-1956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07-F-1419 | PR | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 10/16/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4019065 | NCPDP | PR |