Provider Demographics
NPI:1780684985
Name:FARMACIA YARIMAR II
Entity Type:Organization
Organization Name:FARMACIA YARIMAR II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-799-2177
Mailing Address - Street 1:RR 3 BOX 1077
Mailing Address - Street 2:
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-9803
Mailing Address - Country:US
Mailing Address - Phone:787-799-2177
Mailing Address - Fax:787-279-0156
Practice Address - Street 1:RR 3 BOX 1077
Practice Address - Street 2:
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953-9803
Practice Address - Country:US
Practice Address - Phone:787-799-2177
Practice Address - Fax:787-279-0156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR03016333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4024092OtherPHARMACY