# FRAVAMAR CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farmacia Santa Ana 3
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548550783
- **Authorized official:** JOSE ESTRADA (PRESIDENT/PHARMACIST)
- **Authorized official phone:** (787) 263-2939

## Contact information

- **Practice address:** CARRETERA \#1 KM 49.5 BO BEATRIZ, CIDRA, PR 00739
- **Practice address phone:** (787) 263-2939
- **Practice address fax:** (787) 743-5706
- **Mailing address:** PO BOX 6838, CAGUAS, PR 00726-6838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 13F2915 | PR | Yes |

## Other

- **Enumeration date:** 04/08/2011
- **Last updated:** 04/24/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4027733 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |