# EL BOTINQUIN DE CUPEY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** El Botinquin De Cupey Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922258854
- **Authorized official:** LYDIA NAVAREZ (RPH)
- **Authorized official phone:** (787) 982-2323

## Contact information

- **Practice address:** URB PURPLE TREE, 1749 CARR 844, SAN JUAN, PR 00926-4446
- **Practice address phone:** (787) 755-1600
- **Practice address fax:** (787) 755-1668
- **Mailing address:** PO BOX 8729, SAN JUAN, PR 00910-0729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 10F2633 | PR | Yes |

## Other

- **Enumeration date:** 09/29/2008
- **Last updated:** 12/23/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4026476 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |