Organization
FRAVAMAR CORP
Active
Other names
Farmacia Santa Ana 3
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ESTRADA (PRESIDENT/PHARMACIST)
(787) 263-2939
Entity
Organization
Contact information
Practice address
CARRETERA #1 KM 49.5 BO BEATRIZ, CIDRA, PR 00739
(787) 263-2939
(787) 743-5706
Mailing address
PO BOX 6838, CAGUAS, PR 00726-6838
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
13F2915
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4027733
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/08/2011
Last updated
04/24/2012
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