# COLON TAVAREZ PHARMACY SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farmacia Puerta de Carolina
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891841680
- **Authorized official:** MR. LUIS G COLON RPH (VP)
- **Authorized official phone:** (787) 276-0455

## Contact information

- **Practice address:** AVENIDA MONSERRATE AL1, URBANIZACION VILLA FONTANA, CAROLINA, PR 00983
- **Practice address phone:** (787) 276-0455
- **Practice address fax:** (787) 752-2562
- **Mailing address:** PO BOX 6017, CAROLINA, PR 00984-6017
- **Mailing address phone:** (787) 276-0455
- **Mailing address fax:** (787) 752-2562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07F1317 | PR | Yes |

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 08/22/2020