# SUPER FARMACIA MI BTOTICA

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

## Provider details

- **NPI number:** 1740321959
- **Authorized official:** MAYTE L VIZCARRONDO (FARMACEUTICA)
- **Authorized official phone:** (787) 630-7989

## Contact information

- **Practice address:** IGNACIO ARZUAGA STREET \#5-E, CAROLINA, PR 00985
- **Practice address phone:** (787) 769-0058
- **Practice address fax:** (787) 768-0855
- **Mailing address:** IGNACIO ARZUAGA STREET \#5-E, CAROLINA, PR 00985
- **Mailing address phone:** (787) 769-0058
- **Mailing address fax:** (787) 768-0855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 09-F-1740 | PR | Yes |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 03/07/2023