Provider Demographics
NPI:1124185566
Name:FARMACIA CENTRAL HUMACAO INC
Entity Type:Organization
Organization Name:FARMACIA CENTRAL HUMACAO INC
Other - Org Name:FARMACIA CENTRAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRIGA
Authorized Official - Suffix:
Authorized Official - Credentials:PHAMD
Authorized Official - Phone:787-364-5401
Mailing Address - Street 1:PO BOX 669
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00792-0669
Mailing Address - Country:US
Mailing Address - Phone:787-852-0520
Mailing Address - Fax:787-850-5500
Practice Address - Street 1:NOYA Y HERNANDEZ 12 EAST
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-852-0520
Practice Address - Fax:787-850-5500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X
PR19-F-30983336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2082604OtherPK