# COOP FARMACIA SANTA TERESITA

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

## Provider details

- **NPI number:** 1295863223
- **Authorized official:** MRS. ELVIN BERNARDI (MANAGER)
- **Authorized official phone:** (787) 825-1202

## Contact information

- **Practice address:** CALLE JOSE I QUINTON \#25, COAMO, PR 00769
- **Practice address phone:** (787) 825-1202
- **Practice address fax:** (787) 825-9432
- **Mailing address:** PO BOX 536, COAMO, PR 00769
- **Mailing address phone:** (787) 825-1202
- **Mailing address fax:** (787) 825-9432

## Taxonomy

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

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4003377 | NABP | — |