# MALEZA EXPRESS PHARMACY

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

## Provider details

- **NPI number:** 1578628285
- **Authorized official:** MR. OMAR A HARNADEZ (OWNER)
- **Authorized official phone:** (787) 890-5505

## Contact information

- **Practice address:** CARR. 110 KM. 8.9, BO. MALEZA ALTA, AGUADILLA, PR 00603
- **Practice address phone:** (787) 890-5505
- **Practice address fax:** (787) 890-5515
- **Mailing address:** HC-01 BOX 13327, AGUADILLA, PR 00603
- **Mailing address phone:** (787) 890-5505
- **Mailing address fax:** (787) 890-5515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07-F-2027 | PR | Yes |

## Other

- **Enumeration date:** 12/22/2006
- **Last updated:** 06/25/2008
