# SUPER FARMACIA DERKES INC

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

## Provider details

- **NPI number:** 1851499255
- **Authorized official:** ANA SUED (PHARM D)
- **Authorized official phone:** (787) 864-2516

## Contact information

- **Practice address:** 8 CALLE DERKES E, GUAYAMA, PR 00784-4936
- **Practice address phone:** (787) 864-2112
- **Mailing address:** PO BOX 2133, GUAYAMA, PR 00785-2133
- **Mailing address phone:** (787) 864-2112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | BF3104724 | PR | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 07/15/2024