Provider Demographics
NPI:1760533152
Name:FARMACIA CENTRAL
Entity Type:Organization
Organization Name:FARMACIA CENTRAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELSA
Authorized Official - Middle Name:ENID
Authorized Official - Last Name:FELICIANO
Authorized Official - Suffix:
Authorized Official - Credentials:2129
Authorized Official - Phone:787-872-2630
Mailing Address - Street 1:100 CALLE ROMAN
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-2929
Mailing Address - Country:US
Mailing Address - Phone:787-872-2630
Mailing Address - Fax:787-872-2630
Practice Address - Street 1:100 CALLE ROMAN
Practice Address - Street 2:
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662-2929
Practice Address - Country:US
Practice Address - Phone:787-872-2630
Practice Address - Fax:787-872-2630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2129183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR07F1443OtherPHARMACY