Provider Demographics
NPI:1790970622
Name:FARMACIA LOS ANGELES
Entity Type:Organization
Organization Name:FARMACIA LOS ANGELES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OUNER
Authorized Official - Prefix:
Authorized Official - First Name:ARTURO
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-894-7535
Mailing Address - Street 1:PO BOX 359
Mailing Address - Street 2:
Mailing Address - City:ANGELES
Mailing Address - State:PR
Mailing Address - Zip Code:00611-0359
Mailing Address - Country:US
Mailing Address - Phone:787-894-7535
Mailing Address - Fax:
Practice Address - Street 1:CAR 602 KM 0 HM .6
Practice Address - Street 2:
Practice Address - City:ANGELES
Practice Address - State:PR
Practice Address - Zip Code:00611-0359
Practice Address - Country:US
Practice Address - Phone:787-894-7535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-13
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07F10453336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4018544OtherNABP