# FARMACIA DEL PUEBLO DE VEGA ALTA, INC.

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

## Provider details

- **NPI number:** 1891819348
- **Authorized official:** SOFIA B MARRERO MEDINA PHARMD (PRESIDENT)
- **Authorized official phone:** (787) 883-2065

## Contact information

- **Practice address:** CARR 2 KM 30. 1 BO. ESPINOZA, VEGA ALTA, PR 00692
- **Practice address phone:** (787) 883-2065
- **Practice address fax:** (787) 623-8599
- **Mailing address:** 300 AVE LA SIERRA APT 29, SAN JUAN, PR 00926-4337
- **Mailing address phone:** (787) 883-2065
- **Mailing address fax:** (787) 623-8599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 08F2462 | PR | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 10/21/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4021894 | NABP | PR |