# FARMACIA LASALLE NIEVES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farmacia LaSalle
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982755872
- **Authorized official:** MRS. DIANA NIEVES-CURBELO PH (OWNER)
- **Authorized official phone:** (787) 895-1001

## Contact information

- **Practice address:** CARR 113 KM 11.6, CACAO WARD, QUEBRADILLAS, PR 00678-2621
- **Practice address phone:** (787) 895-1001
- **Practice address fax:** (787) 895-1882
- **Mailing address:** PO BOX 976, QUEBRADILLAS, PR 00678-0976
- **Mailing address phone:** (787) 895-1001
- **Mailing address fax:** (787) 895-1882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07-F-1207 | PR | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 07-F-1207 | STATE LISCENCE | PR |
| 01 | — | DF-01770-7 | STATE CONTROLLED SUBSTANC | PR |