# FARMACIA YANIZ L.L.C.

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

## Provider details

- **NPI number:** 1619417326
- **Authorized official:** MINALIS PANTOJAS PROPIETARY (MANAGER)
- **Authorized official phone:** (787) 693-0302

## Contact information

- **Practice address:** CARR 164 \# KM142, BO PALMAREJO, COROZAL, PR 00783-2400
- **Practice address phone:** (787) 693-0302
- **Practice address fax:** (787) 693-0302
- **Mailing address:** PO BOX 5034, BO MARICAO, VEGA ALTA, PR 00692-5034
- **Mailing address phone:** (787) 693-0302
- **Mailing address fax:** (787) 693-0302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 19-F-3469 | PR | Yes |

## Other

- **Enumeration date:** 02/28/2017
- **Last updated:** 02/28/2017