# FARMACIA SAGRADO, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1952653776
- **Authorized official:** ILIANETTE MIRANDA RPH. (PRESIDENT)
- **Authorized official phone:** (787) 448-5914

## Contact information

- **Practice address:** CALLE ANGEL G. MARTINEZ 3, SABANA GRANDE, PR 00637
- **Practice address phone:** (939) 910-7920
- **Practice address fax:** (939) 910-7921
- **Mailing address:** PO BOX 539, SABANA GRANDE, PR 00637-0539
- **Mailing address phone:** (939) 910-7920
- **Mailing address fax:** (939) 910-7921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/03/2012
- **Last updated:** 06/24/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 038210600 | — | PR |