Provider Demographics
NPI:1710034798
Name:FARMACIA VARGAS
Entity Type:Organization
Organization Name:FARMACIA VARGAS
Other - Org Name:FARMACIA VARGAS, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:PROF
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:C
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:787-782-6129
Mailing Address - Street 1:1000 AVE JESUS T PINERO
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-1819
Mailing Address - Country:US
Mailing Address - Phone:787-782-6129
Mailing Address - Fax:787-749-9077
Practice Address - Street 1:1000 AVE JESUS T PINERO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-1819
Practice Address - Country:US
Practice Address - Phone:787-782-6129
Practice Address - Fax:787-749-9077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07F1000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty