# FARMACIA PATRIA

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

## Provider details

- **NPI number:** 1558497727
- **Authorized official:** ANGEL R SANTOS X RPH (PHARMACIST OWNER)
- **Authorized official phone:** (787) 795-3890

## Contact information

- **Practice address:** STREET 866 KM 3.5 SABANA SECA, TOA BAJA, PR 00952
- **Practice address phone:** (787) 795-3890
- **Practice address fax:** (787) 784-5915
- **Mailing address:** PO BOX 1128, SABANA SECA STATION, PR 00952-1128
- **Mailing address phone:** (787) 795-3890
- **Mailing address fax:** (787) 784-5915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07F0812 | PR | Yes |

## Other

- **Enumeration date:** 02/24/2007
- **Last updated:** 08/22/2020