# FARMACIA SANTA JUANITA INC.

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

## Provider details

- **NPI number:** 1356375471
- **Authorized official:** MRS. MONTSERRAT SWENSEN (PRESIDENT)
- **Authorized official phone:** (787) 786-2554

## Contact information

- **Practice address:** WA1A AVE SANTA JUANITA, URB. SANTA JUANITA, BAYAMON, PR 00956-5074
- **Practice address phone:** (787) 786-2554
- **Mailing address:** PO BOX 19870, SAN JUAN, PR 00910-1870
- **Mailing address phone:** (787) 786-2554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 07-F-2185 | PR | — |
| 333600000X | Pharmacy | 07-F-2185 | PR | — |
| 3336C0003X | Community/Retail Pharmacy | 07-F-2185 | PR | Yes |
| 3336H0001X | Home Infusion Therapy Pharmacy | 07-F-2185 | PR | — |
| 3336S0011X | Specialty Pharmacy | 07-F-2185 | PR | — |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 12/17/2007