# FARMACIA JOBOS

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

## Provider details

- **NPI number:** 1780724740
- **Authorized official:** WANDA GONZALEZ (PHARMACIST)
- **Authorized official phone:** (787) 872-3660

## Contact information

- **Practice address:** 8395 AVE JOBOS, ISABELA, PR 00662-2179
- **Practice address phone:** (787) 872-3660
- **Practice address fax:** (787) 830-2297
- **Mailing address:** PO BOX 795, ISABELA, PR 00662-0795
- **Mailing address phone:** (787) 872-3660
- **Mailing address fax:** (787) 830-2297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | PR | — |
| 3336C0003X | Community/Retail Pharmacy | 07-F-1766 | PR | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 10/29/2010