# FARMACIA BUEN SAMARITANO

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

## Provider details

- **NPI number:** 1265619126
- **Authorized official:** MRS. SARAH VILLANUEVA-CABRERA (DIRECTORA DE SERVICIOS ANCILARES)
- **Authorized official phone:** (787) 658-0000

## Contact information

- **Practice address:** AVENIDA SEVERIANO CUEVAS \#18, AGUADILLA, PR 00603
- **Practice address phone:** (787) 658-0000
- **Practice address fax:** (787) 819-0870
- **Mailing address:** PO BOX 4055, AGUADILLA, PR 00605
- **Mailing address phone:** (787) 658-0000
- **Mailing address fax:** (787) 819-0870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 09-F-2573 | PR | Yes |

## Other

- **Enumeration date:** 01/23/2008
- **Last updated:** 01/14/2022