Provider Demographics
NPI:1538299672
Name:FARMACIA SENORIAL
Entity Type:Organization
Organization Name:FARMACIA SENORIAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PIEDRAHITA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-757-0211
Mailing Address - Street 1:AVE WINSTON CHURCHILL
Mailing Address - Street 2:124 URB CROWN HILL
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-751-0211
Mailing Address - Fax:787-763-0367
Practice Address - Street 1:AVE WINSTON CHURCHILL
Practice Address - Street 2:124 URB CROWN HILL
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-751-0211
Practice Address - Fax:787-763-0367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07F19783336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4024422OtherNABP