Provider Demographics
NPI:1558755264
Name:LA NUEVA FARMACIA SANTA ANA
Entity Type:Organization
Organization Name:LA NUEVA FARMACIA SANTA ANA
Other - Org Name:FARMACIA SANTA ANA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ENID
Authorized Official - Middle Name:
Authorized Official - Last Name:RIEFKOHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-839-5025
Mailing Address - Street 1:8 CALLE GUILLERMO RIEFKOHL
Mailing Address - Street 2:
Mailing Address - City:PATILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00723-2625
Mailing Address - Country:US
Mailing Address - Phone:787-839-5025
Mailing Address - Fax:787-839-3219
Practice Address - Street 1:8 CALLE GUILLERMO RIEFKOHL
Practice Address - Street 2:
Practice Address - City:PATILLAS
Practice Address - State:PR
Practice Address - Zip Code:00723-2625
Practice Address - Country:US
Practice Address - Phone:787-839-5025
Practice Address - Fax:787-839-3219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-20
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16-F-3017333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy