# SUPER FARMACIA ARZUAGA INC

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

## Provider details

- **NPI number:** 1518011758
- **Authorized official:** MR. EDGARDO HERNANDEZ CEO (PRESIDENT)
- **Authorized official phone:** (787) 767-2626

## Contact information

- **Practice address:** CAROLINA SHOPPING COURT 1, LOCAL 103-B CARR\#3 ESQ ROBERTO CLEMENTE, CAROLINA, PR 00987
- **Practice address phone:** (787) 767-2626
- **Practice address fax:** (787) 767-2626
- **Mailing address:** CAROLINA SHOPPING COURT, LOCAL 103-B CARR\#3 ESQ ROBERTO CLEMENTE, CAROLINA, PR 00987
- **Mailing address phone:** (787) 767-2626
- **Mailing address fax:** (787) 767-2626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 09-F-0307 | PR | — |
| 3336C0003X | Community/Retail Pharmacy | 20F3554 | PR | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 08/31/2018