Provider Demographics
NPI:1376511428
Name:FARMACIA QUEBRADILLAS
Entity Type:Organization
Organization Name:FARMACIA QUEBRADILLAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOUISETT
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LF
Authorized Official - Phone:787-895-6006
Mailing Address - Street 1:CALLE SOCORRO #155
Mailing Address - Street 2:
Mailing Address - City:QUEBRADILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00678-1856
Mailing Address - Country:US
Mailing Address - Phone:787-895-6006
Mailing Address - Fax:787-895-0044
Practice Address - Street 1:CALLE SOCORRO #155
Practice Address - Street 2:
Practice Address - City:QUEBRADILLAS
Practice Address - State:PR
Practice Address - Zip Code:00678-1856
Practice Address - Country:US
Practice Address - Phone:787-895-6006
Practice Address - Fax:787-895-0044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies