# FARMACIA LA INMACULADA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FARMACIA LA INMACULADA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548343197
- **Authorized official:** JOSE ROSA PHARMACIST (ADMINISTRATOR)
- **Authorized official phone:** (787) 734-4399

## Contact information

- **Practice address:** 5 CALLE ALMODOVAR, JUNCOS, PR 00777-3302
- **Practice address phone:** (787) 734-4399
- **Practice address fax:** (787) 734-2565
- **Mailing address:** PO BOX 1753, JUNCOS, PR 00777-1753
- **Mailing address phone:** (787) 734-4399
- **Mailing address fax:** (787) 734-2565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 19F2926 | PR | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 02/28/2017