Provider Demographics
NPI:1417046228
Name:FARMACIA RIMARI, LLC
Entity Type:Organization
Organization Name:FARMACIA RIMARI, LLC
Other - Org Name:FARMACIA RIMARI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST IN CHARGE(PIC)
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:E
Authorized Official - Last Name:LOPEZ FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:787-210-8994
Mailing Address - Street 1:49 RUIZ BELVIS CENTRO URBANO
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-3510
Mailing Address - Country:US
Mailing Address - Phone:787-744-1441
Mailing Address - Fax:787-258-8223
Practice Address - Street 1:49 RUIZ BELVIS CENTRO URBANO
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-744-1441
Practice Address - Fax:787-258-8223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR09-F-17233336C0003X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR038234900Medicaid
PR07-F-1723OtherSTATE LICENSE