# FARMACIA AGUADA INC.

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

## Provider details

- **NPI number:** 1467506766
- **Authorized official:** MR. VICTOR JOSE GARCIA (OWNER)
- **Authorized official phone:** (787) 868-6240

## Contact information

- **Practice address:** CARR. 417 BO. MALPASO, AGUADA, PR 00602
- **Practice address phone:** (787) 868-6240
- **Practice address fax:** (787) 868-3589
- **Mailing address:** P.O BOX 991, AGUADA, PR 00602
- **Mailing address phone:** (787) 868-6240
- **Mailing address fax:** (787) 868-3589

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07-F-2299 | PR | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 07/12/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 07-F-2299 | PHARMACY | PR |