# SUPER FARMACIA SANTA ANA

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

## Provider details

- **NPI number:** 1770628455
- **Authorized official:** MR. LUIS E. MALAVE (ADMINISTRATOR)
- **Authorized official phone:** (787) 270-0593

## Contact information

- **Practice address:** CARRETERA \# 2 KM 29.1, PARCELAS CARMEN, VEGA ALTA, PR 00692
- **Practice address phone:** (787) 270-0593
- **Practice address fax:** (787) 270-2503
- **Mailing address:** 76A CALLE JILGUERO, PARCELAS CARMEN, VEGA ALTA, PR 00692-5810
- **Mailing address phone:** (787) 270-0593
- **Mailing address fax:** (787) 270-2503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07-F-1347 | PR | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 08/11/2008