# CASA REALTY CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FARMACIA GRITO DE LARES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841485414
- **Authorized official:** CARLOS TORRES (MANAGER)
- **Authorized official phone:** (787) 897-0176

## Contact information

- **Practice address:** CARR KM 27 4, LARES, PR 00669-1425
- **Practice address phone:** (787) 897-0176
- **Practice address fax:** (787) 897-0176
- **Mailing address:** PO BOX 1425, LARES, PR 00669-1425
- **Mailing address phone:** (787) 897-0176
- **Mailing address fax:** (787) 897-0176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 11F2547 | PR | Yes |

## Other

- **Enumeration date:** 09/07/2007
- **Last updated:** 12/23/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2087571 | PK | — |