Organization
SUPER FARMACIA AMADEO INC
Active
Other names
Super Farmacia Amadeo Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ORLANDO GONZALEZ (PRESIDENT)
(787) 346-3146
Entity
Organization
Contact information
Practice address
CARRETERA 670 KM 8.4, SECTOR ALGARROBO, VEGA BAJA, PR 00693
(787) 855-3473
(787) 807-5533
Mailing address
SUPER FARMACIA AMADEO INC., 74 CARR. 670, VEGA BAJA, PR 00693-5155
(787) 855-3473
(787) 807-5533
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12-F2914
PR
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4027668
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/18/2011
Last updated
04/09/2012
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