Provider Demographics
NPI:1689728990
Name:FARMACIA POPULAR, INC.
Entity Type:Organization
Organization Name:FARMACIA POPULAR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GLADYS
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:787-788-1245
Mailing Address - Street 1:PO BOX 1390
Mailing Address - Street 2:
Mailing Address - City:CATANO
Mailing Address - State:PR
Mailing Address - Zip Code:00963-1390
Mailing Address - Country:US
Mailing Address - Phone:787-788-1245
Mailing Address - Fax:787-788-1245
Practice Address - Street 1:7 CALLE WILSON
Practice Address - Street 2:
Practice Address - City:CATANO
Practice Address - State:PR
Practice Address - Zip Code:00962-4810
Practice Address - Country:US
Practice Address - Phone:787-788-1245
Practice Address - Fax:787-788-1245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07F-1883 PR3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4003199OtherNCPDP