# TOA ALTA PHARMACY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FARMACIA SAN JOSE 4
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366593329
- **Authorized official:** MARIA S MARRERO (PRESIDENT)
- **Authorized official phone:** (787) 870-1434

## Contact information

- **Practice address:** 253 CALLE MENDEZ VIGO, DORADO, PR 00646-4905
- **Practice address phone:** (787) 870-1434
- **Practice address fax:** (787) 870-0169
- **Mailing address:** 253 CALLE MENDEZ VIGO, DORADO, PR 00646-4905
- **Mailing address phone:** (787) 870-1434
- **Mailing address fax:** (787) 870-0169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 09F0189 | PR | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 08/22/2020