Provider Demographics
NPI:1598819211
Name:FARMACIAS YARIMAR INC.
Entity Type:Organization
Organization Name:FARMACIAS YARIMAR INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-799-2177
Mailing Address - Street 1:RR 3 BOX 10777
Mailing Address - Street 2:
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-6433
Mailing Address - Country:US
Mailing Address - Phone:787-799-2177
Mailing Address - Fax:787-279-0156
Practice Address - Street 1:CARR. 829 KM 2.0
Practice Address - Street 2:BARRIO ORTIZ
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00954
Practice Address - Country:US
Practice Address - Phone:787-799-2177
Practice Address - Fax:787-279-0156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07F21243336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy