# FARMACIA LAS COLINAS MAYAGUEZ INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FARMACIA LAS COLINAS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255477816
- **Authorized official:** JESUS AYALA (PRESIDENT)
- **Authorized official phone:** (787) 613-3477

## Contact information

- **Practice address:** BO EL QUEMADO CARR 106 KM 5 8, MAYAGUEZ, PR 00680
- **Practice address phone:** (787) 832-6122
- **Practice address fax:** (787) 832-6074
- **Mailing address:** PO BOX 6066, MAYAGUEZ, PR 00681-6066
- **Mailing address phone:** (787) 832-6122
- **Mailing address fax:** (787) 832-6074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 18F3081 | PR | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 03/13/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2087119 | PK | — |