Organization
FARMACIA DEL PUEBLO DE VEGA ALTA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOFIA B MARRERO MEDINA PHARMD (PRESIDENT)
(787) 883-2065
Entity
Organization
Contact information
Practice address
CARR 2 KM 30. 1 BO. ESPINOZA, VEGA ALTA, PR 00692
(787) 883-2065
(787) 623-8599
Mailing address
300 AVE LA SIERRA APT 29, SAN JUAN, PR 00926-4337
(787) 883-2065
(787) 623-8599
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
08F2462
PR
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4021894
NABP
PR
Enumeration date
03/19/2007
Last updated
10/21/2024
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