Provider Demographics
NPI:1568529659
Name:FARMACIA NOGUERAS
Entity Type:Organization
Organization Name:FARMACIA NOGUERAS
Other - Org Name:FARMACIA NOGUERAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:FCO
Authorized Official - Last Name:NIEVES
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:787-823-2780
Mailing Address - Street 1:11 CALLE MUNOZ RIVERA W #OESTE
Mailing Address - Street 2:P.O. BOX 244
Mailing Address - City:RINCON
Mailing Address - State:PR
Mailing Address - Zip Code:00677-0244
Mailing Address - Country:US
Mailing Address - Phone:787-823-2780
Mailing Address - Fax:787-823-1704
Practice Address - Street 1:11 CALLE MUNOZ RIVERA W
Practice Address - Street 2:BOX 244
Practice Address - City:RINCON
Practice Address - State:PR
Practice Address - Zip Code:00677-2123
Practice Address - Country:US
Practice Address - Phone:787-823-2780
Practice Address - Fax:787-823-1704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07-F-01163336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy