Provider Demographics
NPI:1043348055
Name:FARMACIA JUDITH INC.
Entity Type:Organization
Organization Name:FARMACIA JUDITH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELBA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-258-1177
Mailing Address - Street 1:CALLE MYRNA VAZQUEZ G-30
Mailing Address - Street 2:URB. VALLE TOLIMA
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-258-1177
Mailing Address - Fax:787-745-8470
Practice Address - Street 1:G30 CALLE MYRNA VAZQUEZ
Practice Address - Street 2:URB. VALLE TOLIMA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-2337
Practice Address - Country:US
Practice Address - Phone:787-258-1177
Practice Address - Fax:787-745-8470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy