Provider Demographics
NPI:1518094705
Name:FARMACIA BEVERLY
Entity Type:Organization
Organization Name:FARMACIA BEVERLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTAGENA
Authorized Official - Suffix:
Authorized Official - Credentials:BSPH
Authorized Official - Phone:787-787-2722
Mailing Address - Street 1:W13 AVE RUIZ SOLER
Mailing Address - Street 2:JARDINES DE CAPARRA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-7702
Mailing Address - Country:US
Mailing Address - Phone:787-787-2722
Mailing Address - Fax:787-785-0207
Practice Address - Street 1:W13 AVE RUIZ SOLER
Practice Address - Street 2:JARDINES DE CAPARRA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-7702
Practice Address - Country:US
Practice Address - Phone:787-787-2722
Practice Address - Fax:787-785-0207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR09-F-24783336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy