Provider Demographics
NPI:1528364791
Name:FARMACIA FABI-SEL
Entity Type:Organization
Organization Name:FARMACIA FABI-SEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRISELL
Authorized Official - Middle Name:
Authorized Official - Last Name:MONROIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-384-4181
Mailing Address - Street 1:HC 2 BOX 12068
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-8368
Mailing Address - Country:US
Mailing Address - Phone:787-877-4595
Mailing Address - Fax:787-877-4595
Practice Address - Street 1:BO. ROCHA SECTOR EL EMPALME
Practice Address - Street 2:CARR 112 INT. 445
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676
Practice Address - Country:US
Practice Address - Phone:787-877-4595
Practice Address - Fax:787-877-4595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-04
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12-F-29133336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy