Organization
NORTHWEST PHARMACY GROUP LLC.
Active
Other names
Farmacia El Eden
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO A MARCHESE (OWNER)
(787) 636-1512
Entity
Organization
Contact information
Practice address
CARR. 110 KM 22.9 BARRIO CEIBA BAJA, AGUADILLA, PR 00603
(787) 882-2000
(787) 891-8614
Mailing address
81 URB.ALTAMIRA, LARES, PR 00669
(787) 636-1512
(787) 891-8614
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038243000
—
PR
01
—
4018708
NCPDP OR NABP NUMBER
PR
Enumeration date
01/02/2007
Last updated
09/30/2024
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