# MAYRA'S PHARMACY PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mayra's Pharmacy PSC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518383231
- **Authorized official:** MAYRA IVELISSE RODRIGUEZ (PHARMACIST)
- **Authorized official phone:** (787) 874-9911

## Contact information

- **Practice address:** CARR. 31 KM. 3.2, AT SUPERMERCADOS ECONO, NAGUABO, PR 00718-0741
- **Practice address phone:** (787) 874-9911
- **Practice address fax:** (787) 874-3582
- **Mailing address:** PO BOX 741, NAGUABO, PR 00718-0741
- **Mailing address phone:** (787) 874-9911
- **Mailing address fax:** (787) 874-3582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 15F3178 | PR | Yes |

## Other

- **Enumeration date:** 03/06/2014
- **Last updated:** 07/02/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 039807500 | — | PR |
| 01 | — | 2144520 | PK | — |