Provider Demographics
NPI:1437260130
Name:EMPRESAS FARMACEUTICAS DE V B INC
Entity Type:Organization
Organization Name:EMPRESAS FARMACEUTICAS DE V B INC
Other - Org Name:FARMACIA GONZALEZ 2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM BACHELOR
Authorized Official - Phone:787-858-2275
Mailing Address - Street 1:PO BOX 72
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00694-0072
Mailing Address - Country:US
Mailing Address - Phone:787-858-2275
Mailing Address - Fax:787-858-2275
Practice Address - Street 1:49 CALLE BETANCES
Practice Address - Street 2:
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-4464
Practice Address - Country:US
Practice Address - Phone:787-858-2275
Practice Address - Fax:787-858-2275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17-F-0294333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2084549OtherPK