# FARMACIA MEDIANIA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farmacia Mediania Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750500302
- **Authorized official:** MR. SANTIAGO MOLINA LCDO (OWNER)
- **Authorized official phone:** (787) 876-1927

## Contact information

- **Practice address:** CARR 187 KM 7.0, MEDIANIA ALTA, LOIZA, PR 00772
- **Practice address phone:** (787) 876-1927
- **Practice address fax:** (787) 256-2777
- **Mailing address:** PO BOX 528, LOIZA, LOIZA, PR 00772-0528
- **Mailing address phone:** (787) 876-1927
- **Mailing address fax:** (787) 256-2777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 13-F-0629 | PR | Yes |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 10/30/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4014433 | NCPDP | — |