# BIENESTAR PHARMACY GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BIENESTAR PHARMACY GROUP
- **Other names:** NEW LYFE PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225784143
- **Legal business name:** BIENESTAR PHARMACY GROUP
- **Authorized official:** DR. JOSE RAMON RODRIGUEZ-DIAZ MD, MPH (CEO)
- **Authorized official phone:** (939) 545-0522

## Contact information

- **Practice address:** CARR 718, KM. 1.1, BO PASTO, AIBONITO, PR 00705
- **Practice address phone:** (787) 303-0799
- **Practice address fax:** (787) 333-6188
- **Mailing address:** 165 CALLE BALDRIOTY NORTE, BUZON \#2, AIBONITO, PR 00705
- **Mailing address phone:** (939) 545-0522
- **Mailing address fax:** (939) 545-0700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/01/2022
- **Last updated:** 03/01/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | MG909 | MEDICARE | — |