Provider Demographics
NPI:1497807457
Name:FARMACIA VILLA CARMEN LLC
Entity Type:Organization
Organization Name:FARMACIA VILLA CARMEN LLC
Other - Org Name:FARMCIA VILLA CARMEN
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:G
Authorized Official - Last Name:APONTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-463-5301
Mailing Address - Street 1:Q-48 AVE LMM VILLA CARMEN
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-6158
Mailing Address - Country:US
Mailing Address - Phone:787-743-3365
Mailing Address - Fax:787-744-6889
Practice Address - Street 1:Q-48 AVE LMM VILLA CARMEN
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-6158
Practice Address - Country:US
Practice Address - Phone:787-743-3365
Practice Address - Fax:787-744-6889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy