# FARMACIA SAN MIGUEL

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

## Provider details

- **NPI number:** 1255476644
- **Authorized official:** MR. LUIS ISMAEL SAN MIGUEL (OWNER)
- **Authorized official phone:** 17878585257

## Contact information

- **Practice address:** 54 CALLE E BETANCES, VEGA BAJA, PR 00693-4407
- **Practice address phone:** (787) 858-5267
- **Practice address fax:** (787) 858-1564
- **Mailing address:** 54 CALLE E BETANCES, VEGA BAJA, PR 00693-4407
- **Mailing address phone:** (178) 785-8526
- **Mailing address fax:** (178) 785-8156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07F0460 | PR | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 08/29/2007