# SUPER FARMACIA TRIPLE R, INC.

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

## Provider details

- **NPI number:** 1689752941
- **Authorized official:** MS. LUZ R ROLON PHARMACIST (VICE PRESIDENT)
- **Authorized official phone:** (787) 855-6033

## Contact information

- **Practice address:** 4020 CARR 2, SUITE 28, PLAZA JARDINES, VEGA BAJA, PR 00693-6141
- **Practice address phone:** (787) 855-6033
- **Practice address fax:** (787) 855-6033
- **Mailing address:** 4020, CARR \#2, SUITE 28, PLAZA JARDINES, VEGA BAJA, PR 00693
- **Mailing address phone:** (787) 855-6033
- **Mailing address fax:** (787) 855-6033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 11-F-1206 | PR | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 06/23/2009