# PREMIUM PHARMACY 3

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

## Provider details

- **NPI number:** 1376438739
- **Authorized official:** MR. MARCOS ENRIQUE IRIZARRY (ADMINISTRATOR)
- **Authorized official phone:** (787) 341-4893

## Contact information

- **Practice address:** STE AMADEO AVE FERNANDEZ JUNCOS SPC 4, CAROLINA, PR 00979
- **Practice address phone:** (787) 341-4893
- **Mailing address:** LAGUNA GARDENS SHOPPING CENTER, SUITE 115-A, CAROLINA, PR 00979

## Taxonomy

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

## Other

- **Enumeration date:** 06/09/2025
- **Last updated:** 11/03/2025