# SUPER FARMACIA LOPEZ

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

## Provider details

- **NPI number:** 1245272152
- **Authorized official:** DR. SALVADOR LOPEZ MD (OWNER)
- **Authorized official phone:** (787) 879-5058

## Contact information

- **Practice address:** CARRETERA 2 RAMAL 681, 62 CALLE PRINCIPAL JAREALITO, ARECIBO, PR 00612
- **Practice address phone:** (787) 879-5058
- **Practice address fax:** (787) 879-5058
- **Mailing address:** PO BOX 6000, ARECIBO, PR 00613-6010
- **Mailing address phone:** (787) 879-5058
- **Mailing address fax:** (787) 879-5058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 4015536 | PR | Yes |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 08/22/2020