# SUPER FARMACIA SANTA TERESA, INC

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

## Provider details

- **NPI number:** 1629107677
- **Authorized official:** MILCA JIMENEZ (MANAGER)
- **Authorized official phone:** (787) 887-2475

## Contact information

- **Practice address:** CALLE PIMENTEL \# 17, RIO GRANDE, PR 00745
- **Practice address phone:** (787) 887-2475
- **Practice address fax:** (787) 888-1033
- **Mailing address:** P.O. BOX 756, RIO GRANDE, PR 00745
- **Mailing address phone:** (787) 887-2475
- **Mailing address fax:** (787) 887-1960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07-F-0773 | PR | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 12/09/2025