Provider Demographics
NPI:1659588770
Name:FARMACIA ROUND HILL
Entity Type:Organization
Organization Name:FARMACIA ROUND HILL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:
Authorized Official - Last Name:MELENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:787-761-0005
Mailing Address - Street 1:PO BOX 905
Mailing Address - Street 2:
Mailing Address - City:SAINT JUST
Mailing Address - State:PR
Mailing Address - Zip Code:00978-0905
Mailing Address - Country:US
Mailing Address - Phone:787-761-0005
Mailing Address - Fax:787-748-1860
Practice Address - Street 1:CALLE ORQUIDEA
Practice Address - Street 2:ROUND HILL SHOPPING CENTER
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-761-0005
Practice Address - Fax:787-748-1860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07-F-09673336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4007539OtherNABP
PR4007539OtherNABP