Provider Demographics
NPI:1033474549
Name:FARMACIA NOVEDADES, INC.
Entity Type:Organization
Organization Name:FARMACIA NOVEDADES, INC.
Other - Org Name:FARMACIA NOVEDADES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-867-0180
Mailing Address - Street 1:CARR. 155, KM 27, H7, P2
Mailing Address - Street 2:SALIDA A COAMO # 8
Mailing Address - City:OROCOVIS, PR 00720
Mailing Address - State:PR
Mailing Address - Zip Code:00720
Mailing Address - Country:US
Mailing Address - Phone:787-867-0180
Mailing Address - Fax:
Practice Address - Street 1:CARR. 155, KM 27, H7, P2
Practice Address - Street 2:SALIDA A COAMO # 8
Practice Address - City:OROCOVIS, PR 00720
Practice Address - State:PR
Practice Address - Zip Code:00720
Practice Address - Country:US
Practice Address - Phone:787-867-0180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PR14-F-30333336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4028191OtherNCPDP PROVIDER IDENTIFICATION NUMBER