Provider Demographics
NPI:1275249732
Name:FARMACIA BARRANCA CORP
Entity Type:Organization
Organization Name:FARMACIA BARRANCA CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ JIMENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:787-879-5700
Mailing Address - Street 1:HC 3 BOX 50801
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-6109
Mailing Address - Country:US
Mailing Address - Phone:787-879-5700
Mailing Address - Fax:
Practice Address - Street 1:CARR. 653 KM 2.0 SECTOR BARRANCA
Practice Address - Street 2:HATO ABAJO
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-879-5700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-27
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy