Provider Demographics
NPI:1518094168
Name:FARMACIA SANTA ANA
Entity Type:Organization
Organization Name:FARMACIA SANTA ANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FARMACEUTICA
Authorized Official - Prefix:
Authorized Official - First Name:ROSARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-881-2035
Mailing Address - Street 1:PO BOX 221
Mailing Address - Street 2:
Mailing Address - City:BAJADERO
Mailing Address - State:PR
Mailing Address - Zip Code:00616
Mailing Address - Country:US
Mailing Address - Phone:787-815-6886
Mailing Address - Fax:
Practice Address - Street 1:CARR. #2 KM 69.8 BO. SANTANA
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-815-6886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR03F04913336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy