# SUPER FARMACIA FLORIDA

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

## Provider details

- **NPI number:** 1326169558
- **Authorized official:** DORISEL PEREZ (PHARMACIST)
- **Authorized official phone:** (787) 822-0704

## Contact information

- **Practice address:** 13 CALLE ANTONIO ALCAZAR, FLORIDA, PR 00650-1913
- **Practice address phone:** (787) 822-0704
- **Practice address fax:** (787) 822-1996
- **Mailing address:** 13 CALLE ANTONIO ALCAZAR, FLORIDA, PR 00650-1913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 09F0131 | PR | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 09/25/2007