Provider Demographics
NPI:1497800148
Name:FARMACIA MINELLY INC
Entity Type:Organization
Organization Name:FARMACIA MINELLY INC
Other - Org Name:FARMACIA MINELLY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NELIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURGOS ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-867-1430
Mailing Address - Street 1:PO BOX 1225
Mailing Address - Street 2:
Mailing Address - City:OROCOVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00720-1225
Mailing Address - Country:US
Mailing Address - Phone:787-867-1430
Mailing Address - Fax:787-867-4848
Practice Address - Street 1:ROAD 155 KM 315
Practice Address - Street 2:
Practice Address - City:OROCOVIS
Practice Address - State:PR
Practice Address - Zip Code:00720
Practice Address - Country:US
Practice Address - Phone:787-867-3810
Practice Address - Fax:787-867-3810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy