# FARMACIA GRANDE DORADO

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

## Provider details

- **NPI number:** 1467498261
- **Authorized official:** LINNETTE VALLELLANES (PHCY DIR)
- **Authorized official phone:** (787) 638-8955

## Contact information

- **Practice address:** 693 ROAD KM 8, DORADO DEL MAR SHP CNTR, DORADO, PR 00646
- **Practice address phone:** (787) 278-6011
- **Practice address fax:** (787) 278-6012
- **Mailing address:** PO BOX 458, CATANO, PR 00963-0458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 07F2319 | PR | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4025119 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |