# EGM PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farmacia De Diego
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285798967
- **Authorized official:** GLENDALIS VARGAS PHARM D (PHARMACIST IN CHARGE, OWNER)
- **Authorized official phone:** (787) 832-4200

## Contact information

- **Practice address:** 15 CALLE DR RAMON E BETANCES N BO MAYAGUEZ, MAYAGUEZ, PR 00680
- **Practice address phone:** (787) 832-4200
- **Practice address fax:** (787) 832-1874
- **Mailing address:** 15 CALLE DR RAMON E BETANCES N BO MAYAGUEZ, MAYAGUEZ, PR 00680
- **Mailing address phone:** (787) 832-4200
- **Mailing address fax:** (787) 832-1874

## Taxonomy

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

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 09/06/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4019445 | NCPDP | PR |