Provider Demographics
NPI:1053686170
Name:FARMACIAS PLAZA
Entity Type:Organization
Organization Name:FARMACIAS PLAZA
Other - Org Name:PHARMACY
Other - Org Type:Other Name
Authorized Official - Title/Position:PHARMACY TECHNITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:MILENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:URBINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-620-9602
Mailing Address - Street 1:CALLE MARGINAL D 32 EXT FOREST HILLS
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:UM
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:D32 CALLE MARGINAL EXTENCION FOREST HILLS
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-5555
Practice Address - Country:US
Practice Address - Phone:787-620-9602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health