# MARIE MED CORP.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marie Compounding Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275633448
- **Authorized official:** MARIELA VAZQUEZ PHARMD (PRESIDENT)
- **Authorized official phone:** (787) 278-6300

## Contact information

- **Practice address:** CARR 177 KM 2 0 LOS FILTROS, AVE CASA LINDA \#1 SUITE 101, BAYAMON, PR 00959
- **Practice address phone:** (787) 272-4998
- **Practice address fax:** (787) 272-4969
- **Mailing address:** 845 CARR 693 SUITE 14, PLAZA DORADA, DORADO, PR 00646
- **Mailing address phone:** (787) 272-4998
- **Mailing address fax:** (787) 272-4969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 12/27/2024