Organization
FARMACIA FENIX INC
Active
Other names
Farmacia Ave Fenix
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE REYES (VP)
(787) 890-7115
Entity
Organization
Contact information
Practice address
CARR 110 KM 9.8 GATE 5, BO MALEZA ALTA, AGUADILLA, PR 00603
(787) 890-7115
(787) 890-4366
Mailing address
PO BOX 3758, AGUADILLA, PR 00605-3758
(787) 890-7115
(787) 890-4366
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11F2705
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4026743
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/17/2009
Last updated
12/13/2010
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