# FARMACIA DIAZ

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

## Provider details

- **NPI number:** 1972641066
- **Authorized official:** RICHARD MALAVE R. PH. (CHIEF PHARMACIST)
- **Authorized official phone:** (787) 874-1086

## Contact information

- **Practice address:** CALLE BALDORIOTY \#34, NAGUABO, PR 00718-0097
- **Practice address phone:** (787) 874-1086
- **Practice address fax:** (787) 874-1086
- **Mailing address:** CALLE BALDORIOTY \#34, NAGUABO, PR 00718-0097
- **Mailing address phone:** (787) 874-1086
- **Mailing address fax:** (787) 874-1086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07-F-0231 | PR | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 11/27/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4004709 | NCCDP | PR |