Provider Demographics
NPI:1124181300
Name:FARMACIA RODRIGUEZ NOBLE INC
Entity Type:Organization
Organization Name:FARMACIA RODRIGUEZ NOBLE INC
Other - Org Name:MEDICAL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:II
Authorized Official - Credentials:BSPH
Authorized Official - Phone:787-767-3263
Mailing Address - Street 1:728 AVE PONCE DE LEON
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-4500
Mailing Address - Country:US
Mailing Address - Phone:787-767-3263
Mailing Address - Fax:
Practice Address - Street 1:728 AVE PONCE DE LEON
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-4500
Practice Address - Country:US
Practice Address - Phone:787-767-3263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2234183500000X
PR07F15933336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy