Organization
FARMACIA UNIVERSAL EJD INC
Active
Other names
FARMACIA UNIVERSAL
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNA MATAR RPH (OWNER)
(787) 743-6849
Entity
Organization
Contact information
Practice address
80 AVE L MUNOZ MARIN, STE 105, CAGUAS, PR 00725-4080
(787) 743-6849
(787) 743-6849
Mailing address
80 AVE L MUNOZ MARIN, STE 105, CAGUAS, PR 00725-4080
(787) 743-6849
(787) 743-6849
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
14F2599
PR
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4021793
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/11/2007
Last updated
05/14/2012
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