# FARMACIA SAN JOSE LOS CAOBOS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farmacia San Jose
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902623523
- **Authorized official:** MARIA AMALIA LEON-YORDAN PHARMD (PRESIDENT)
- **Authorized official phone:** (787) 988-5474

## Contact information

- **Practice address:** URB LOS CAOBOS, 775 CALLE CAOBA SUITE \#5, PONCE, PR 00716
- **Practice address phone:** (787) 988-5474
- **Practice address fax:** (787) 988-5434
- **Mailing address:** URB CAMINO DEL SUR, 464 CALLE GAVIOTA, PONCE, PR 00716
- **Mailing address phone:** (787) 988-5474
- **Mailing address fax:** (787) 988-5434

## Taxonomy

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

## Other

- **Enumeration date:** 09/24/2024
- **Last updated:** 08/26/2026