# FARMACIA LA ROSA DE SARON INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SUPER FARMACIA VILLA TOLEDO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639309545
- **Authorized official:** IVIS GONZALEZ (PRESIDENT)
- **Authorized official phone:** (787) 226-1770

## Contact information

- **Practice address:** 132 CALLE UMBRAL, VILLA TOLEDO, ARECIBO, PR 00612-9689
- **Practice address phone:** (787) 817-4747
- **Practice address fax:** (787) 817-4646
- **Mailing address:** 132 CALLE UMBRAL, URB VILLA TOLEDO, ARECIBO, PR 00612-9689
- **Mailing address phone:** (787) 817-4747
- **Mailing address fax:** (787) 817-4646

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 17-F-2744 | PR | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/27/2009
- **Last updated:** 05/03/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2120882 | PK | — |