# IVAMIK LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farmacia Vazquez \#2
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760916472
- **Authorized official:** DR. IVAN RIVERA PHARMD (PRESIDENT)
- **Authorized official phone:** (787) 738-1444

## Contact information

- **Practice address:** CARR 1 KM 56.5 MARGINAL, BO MONTELLANOS, CAYEY, PR 00737
- **Practice address phone:** (787) 738-1444
- **Mailing address:** PO BOX 370627, CAYEY, PR 00737-0627
- **Mailing address phone:** (787) 738-1444
- **Mailing address fax:** (787) 263-8030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 19-F-3488 | PR | Yes |

## Other

- **Enumeration date:** 04/19/2017
- **Last updated:** 08/18/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 037720400 | — | PR |