# FARMACIA GRACIELA INC.

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

## Provider details

- **NPI number:** 1700214178
- **Authorized official:** MR. JOSE MIGUEL BELTRAN-RODRIGUEZ (ADMINISTRATOR)
- **Authorized official phone:** (787) 786-7194

## Contact information

- **Practice address:** CALLE B 39A \#16, SIERRA BAYAMON, BAYAMON, PR 00961
- **Practice address phone:** (787) 786-7194
- **Practice address fax:** (787) 780-5156
- **Mailing address:** CALLE B 39A \#16, SIERRA BAYAMON, BAYAMON, PR 00961
- **Mailing address phone:** (787) 786-7194
- **Mailing address fax:** (787) 780-5156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 15-F-0657 | PR | Yes |

## Other

- **Enumeration date:** 10/23/2013
- **Last updated:** 07/14/2014