Provider Demographics
NPI:1235504051
Name:FARMACIA ORESTE INC.
Entity Type:Organization
Organization Name:FARMACIA ORESTE INC.
Other - Org Name:FARMACIA ORESTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELBA
Authorized Official - Middle Name:DAMARIS
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:939-202-8543
Mailing Address - Street 1:PO BOX 251
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-0251
Mailing Address - Country:US
Mailing Address - Phone:787-589-7281
Mailing Address - Fax:
Practice Address - Street 1:CARR 411 KM 2.8
Practice Address - Street 2:BARRIO JAGUEY
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602
Practice Address - Country:US
Practice Address - Phone:787-589-7281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-04
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17-F-33203336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy