# FARMACIA SAGRADO CORAZON

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

## Provider details

- **NPI number:** 1982734620
- **Authorized official:** IVAN LOPERENA (OWNER)
- **Authorized official phone:** (787) 882-0135

## Contact information

- **Practice address:** CARR. \#2 KM.122.0 BO. CORRALES, AGUADILLA, PR 00603
- **Practice address phone:** (787) 882-0135
- **Practice address fax:** (787) 882-0185
- **Mailing address:** PO BOX 3088, AGUADILLA, PR 00605-3088
- **Mailing address phone:** (787) 882-0135
- **Mailing address fax:** (787) 882-0185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 09-F-2040 | PR | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 08/07/2008