Provider Demographics
NPI:1417077520
Name:FARMACIA BARINAS
Entity Type:Organization
Organization Name:FARMACIA BARINAS
Other - Org Name:DENISSE J. RODRIGUEZ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST AND OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISSE
Authorized Official - Middle Name:J
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:787-856-4966
Mailing Address - Street 1:PO BOX 83
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-0083
Mailing Address - Country:US
Mailing Address - Phone:787-856-4966
Mailing Address - Fax:787-856-4966
Practice Address - Street 1:200 BARINAS SHOPPING CENTER
Practice Address - Street 2:SUITE 203
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-2712
Practice Address - Country:US
Practice Address - Phone:787-856-4966
Practice Address - Fax:787-856-4966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07F15103336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRDF021416OtherASSMCA
PRNABPOther4020498
PRBF4550960OtherDEA