# FARMACIA COOP CAMUY

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

## Provider details

- **NPI number:** 1609928902
- **Authorized official:** MR. TEODORO GONZALEZ (PRESIDENTE EJECUTIVO)
- **Authorized official phone:** (787) 872-2590

## Contact information

- **Practice address:** 162 AVE MUNOZ RIVERA E, CAMUY, PR 00627-2632
- **Practice address phone:** (787) 262-2007
- **Practice address fax:** (787) 898-1285
- **Mailing address:** 162 AVE MUNOZ RIVERA 162, CAMUY, PR 00627
- **Mailing address phone:** (787) 262-2007
- **Mailing address fax:** (787) 898-1285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07-F-1384 | PR | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 401978-6 | NCPDP | PR |