# FARMACIA DEL VIVI INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FARMACIA DEL VIVI INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942308879
- **Authorized official:** WANDA CORDERO (PHARMACIST OWNER)
- **Authorized official phone:** (787) 894-2185

## Contact information

- **Practice address:** CARR 111 KM 1 8 AVE FERNANDO L RIBAS, UTUADO, PR 00641
- **Practice address phone:** (787) 894-2185
- **Practice address fax:** (787) 814-0058
- **Mailing address:** PO BOX 659, UTUADO, PR 00641-0659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 11F2081 | PR | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 08/31/2009
