# FARMACIA CORALIS INC

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

## Provider details

- **NPI number:** 1356483705
- **Authorized official:** MR. ELVIS I GARCIA (MANAGER)
- **Authorized official phone:** (787) 874-3122

## Contact information

- **Practice address:** CALLE MUNOZ RIVERA \#17, NAGUABO, PR 00718-0097
- **Practice address phone:** (787) 874-3122
- **Practice address fax:** (787) 874-6819
- **Mailing address:** PO BOX 97 NAGUABO, PR 00718-0097, NAGUABO, PR 00718-0097
- **Mailing address phone:** (787) 874-3122
- **Mailing address fax:** (787) 874-6819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07-F-2191 | PR | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 08/30/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4015889 | NCCDP | PR |