Provider Demographics
NPI:1063628311
Name:FARMACIA ARE
Entity Type:Organization
Organization Name:FARMACIA ARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ-SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:BSPH
Authorized Official - Phone:787-786-7482
Mailing Address - Street 1:1-A6 LOMAS VERDES AVE
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-3133
Mailing Address - Country:US
Mailing Address - Phone:787-786-7482
Mailing Address - Fax:787-780-2291
Practice Address - Street 1:1-A6 LOMAS VERDES AVE
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-3133
Practice Address - Country:US
Practice Address - Phone:787-786-7482
Practice Address - Fax:787-780-2291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR09-F-0070183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR09-F-0070OtherPHARNACY STATE LICENCE
PRBF0759451OtherDEA #