Provider Demographics
NPI:1568698199
Name:FARMACIA DEL VALLE
Entity Type:Organization
Organization Name:FARMACIA DEL VALLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST- OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:H
Authorized Official - Last Name:DEL VALLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-271-3744
Mailing Address - Street 1:PO BOX 2376
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-2376
Mailing Address - Country:US
Mailing Address - Phone:787-271-3744
Mailing Address - Fax:787-271-3907
Practice Address - Street 1:CARR. # 3 CALLE RIEFKHOL # 3
Practice Address - Street 2:
Practice Address - City:PATILLAS
Practice Address - State:PR
Practice Address - Zip Code:00723
Practice Address - Country:US
Practice Address - Phone:787-271-3744
Practice Address - Fax:787-271-3907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-10
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11-F-27183336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy