# SUPER FARMACIA LIBERTAD INC.

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

## Provider details

- **NPI number:** 1861570277
- **Authorized official:** MR. MANUEL E. FIGUEROA (PRESIDENT)
- **Authorized official phone:** (787) 863-0810

## Contact information

- **Practice address:** \# 206 MUNOZ RIVERA ST., FAJARDO, PR 00738
- **Practice address phone:** (787) 863-0810
- **Practice address fax:** (787) 860-6666
- **Mailing address:** PO BOX 1169, FAJARDO, PR 00738-1169
- **Mailing address phone:** (787) 863-0810
- **Mailing address fax:** (787) 860-6666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07-F-0415 | PR | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 12/24/2008
