Provider Demographics
NPI:1679797971
Name:FARMACIA LIANGIE
Entity Type:Organization
Organization Name:FARMACIA LIANGIE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:COLON
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-862-1733
Mailing Address - Street 1:31 CALLE PRINCIPAL
Mailing Address - Street 2:
Mailing Address - City:MOROVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00687-3053
Mailing Address - Country:US
Mailing Address - Phone:787-862-1733
Mailing Address - Fax:787-862-1733
Practice Address - Street 1:31 CALLE PRINCIPAL
Practice Address - Street 2:
Practice Address - City:MOROVIS
Practice Address - State:PR
Practice Address - Zip Code:00687-3053
Practice Address - Country:US
Practice Address - Phone:787-862-1733
Practice Address - Fax:787-862-1733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
07-F-0202183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty