# FARMACIA CENTRO MEDICO WILMA

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

## Provider details

- **NPI number:** 1245274554
- **Authorized official:** LUIS ROSA (COMPTROLLER)
- **Authorized official phone:** (787) 858-1580

## Contact information

- **Practice address:** CARR 2 KM 39 5 ALGARRPBP, CALL BX 7001, VEGA BAJA, PR 00694
- **Practice address phone:** (787) 858-1580
- **Mailing address:** CARR 2 KM 39 5 ALGARRPBP, CALL BX 7001, VEGA BAJA, PR 00694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 07F0263 | PR | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336I0012X | Institutional Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4000115 | — | PR |
| 01 | — | 4020436 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |