Provider Demographics
NPI:1346251915
Name:FARMACIA ALIMAR
Entity Type:Organization
Organization Name:FARMACIA ALIMAR
Other - Org Name:FARMACIA ALIMAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ISONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARRERO
Authorized Official - Suffix:
Authorized Official - Credentials:PHBS
Authorized Official - Phone:787-720-7439
Mailing Address - Street 1:47 AVE ESMERALDA
Mailing Address - Street 2:URB.MUNOZ RIVERA
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4429
Mailing Address - Country:US
Mailing Address - Phone:787-789-2683
Mailing Address - Fax:787-790-3925
Practice Address - Street 1:47 AVE ESMERALDA
Practice Address - Street 2:URB.MUNOZ RIVERA
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-4429
Practice Address - Country:US
Practice Address - Phone:787-789-2683
Practice Address - Fax:787-790-3925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PR17F27503336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2085084OtherPK