Organization
FARMACIA DEL VIVI INC
Active
Other names
FARMACIA DEL VIVI INC
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA CORDERO (PHARMACIST OWNER)
(787) 894-2185
Entity
Organization
Contact information
Practice address
CARR 111 KM 1 8 AVE FERNANDO L RIBAS, UTUADO, PR 00641
(787) 894-2185
(787) 814-0058
Mailing address
PO BOX 659, UTUADO, PR 00641-0659
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11F2081
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4018861
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/21/2006
Last updated
08/31/2009
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