Provider Demographics
NPI:1821126657
Name:FARMACIA BELEMAR
Entity Type:Organization
Organization Name:FARMACIA BELEMAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEXAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVILA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-762-3525
Mailing Address - Street 1:UA4 CALLE 13
Mailing Address - Street 2:COMERCIAL PARQUE ECUESTRE
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-8570
Mailing Address - Country:US
Mailing Address - Phone:787-762-3525
Mailing Address - Fax:787-762-3541
Practice Address - Street 1:UA4 CALLE 13
Practice Address - Street 2:COMERCIAL PARQUE ECUESTRE
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987-8570
Practice Address - Country:US
Practice Address - Phone:787-762-3525
Practice Address - Fax:787-762-3541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR003369183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR09-F-0044OtherNCPDP#4015473