# GENEPHARMA, CORP.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FARMACIA REY \#11
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679861124
- **Authorized official:** ANELIESE AYALA (VICE-PRESIDENT)
- **Authorized official phone:** (787) 692-2449

## Contact information

- **Practice address:** 115 AVE BARBOSA, CATANO, PR 00962-4780
- **Practice address phone:** (787) 275-4200
- **Practice address fax:** (787) 275-8167
- **Mailing address:** S1-2 CALLE 11, VILLAS DE PARANA, SAN JUAN, PR 00926-9403
- **Mailing address phone:** (787) 692-2449
- **Mailing address fax:** (787) 287-7800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 13-F-2955 | PR | Yes |

## Other

- **Enumeration date:** 07/19/2011
- **Last updated:** 03/31/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4027858 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |