# FARMACIA NOVAVIDA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FARMACIA NOVAVIDAN LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588460133
- **Authorized official:** MISS MYLEISHA BARRETO QUINONES TECNICO DE FARMACIA (TECNICO DE FARMACIA)
- **Authorized official phone:** (787) 207-1766

## Contact information

- **Practice address:** ED PLAZA DEL MAR 8494, AVE JOBOS, ISABELA, PR 00662
- **Practice address phone:** (787) 207-1766
- **Mailing address:** 610 CALLE FRAGATA, ISABELA, PR 00662-2132
- **Mailing address phone:** (787) 207-1766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/24/2025
- **Last updated:** 02/24/2025