Organization
SUPER FARMACIA SAN JOSE DE AIBONITO INC
Active
Other names
SUPER FARMACIA SAN JOSE
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL RIVERA OLIVENCIA RPH (PRESIDENT)
(787) 735-3025
Entity
Organization
Contact information
Practice address
300 CALLE SAN JOSE ESQ MERCEDITA SERRALLES, AIBONITO, PR 00705
(787) 735-3025
(787) 735-2725
Mailing address
PO BOX 2021, AIBONITO, PR 00705-2021
(787) 735-3025
(787) 735-2725
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
19-F-3483
PR
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037722100
—
PR
01
—
2085519
PK
—
Enumeration date
11/21/2006
Last updated
07/21/2025
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