# FARMACIA JOMAR INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FARMACIA YOMAR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841328176
- **Authorized official:** IVELISSE RIVERA SERRANO RPH (OWNER)
- **Authorized official phone:** (787) 832-4102

## Contact information

- **Practice address:** 160 CALLE DR RAMON E BETANCES S, MAYAGUEZ, PR 00680-4061
- **Practice address phone:** (787) 832-4102
- **Practice address fax:** (787) 832-4104
- **Mailing address:** 160 CALLE DR RAMON E BETANCES S, MAYAGUEZ, PR 00680-4061
- **Mailing address phone:** (787) 832-4102
- **Mailing address fax:** (787) 832-4104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 19-F-3109 | PR | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 01/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2086253 | PK | — |