Provider Demographics
NPI:1225181167
Name:FARMACIA YARIMAR
Entity Type:Organization
Organization Name:FARMACIA YARIMAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-380-3390
Mailing Address - Street 1:# 904 CALLE 31 SO
Mailing Address - Street 2:LAS LOMAS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-2426
Mailing Address - Country:US
Mailing Address - Phone:787-792-3196
Mailing Address - Fax:787-781-9220
Practice Address - Street 1:URB. LAS LOMAS
Practice Address - Street 2:CALLE 31 SO #904
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00921-2426
Practice Address - Country:US
Practice Address - Phone:787-792-3196
Practice Address - Fax:787-781-9220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0002X
PR07F13923336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy