# FARMAVIDA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FarmaVida
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447009915
- **Authorized official:** PEDRO J MAISONET RPH (PHARMACIST)
- **Authorized official phone:** (787) 891-6539

## Contact information

- **Practice address:** CARR 2 KM 119.5 BO CAIMITAL ALTO, AGUADILLA, PR 00603-9197
- **Practice address phone:** (787) 432-1645
- **Mailing address:** HC 3 BOX 30402, AGUADILLA, PR 00603-9197
- **Mailing address phone:** (787) 891-6539

## Taxonomy

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

## Other

- **Enumeration date:** 05/16/2024
- **Last updated:** 11/15/2024