Provider Demographics
NPI:1831309756
Name:FARMACIA WIL-SONS
Entity Type:Organization
Organization Name:FARMACIA WIL-SONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RPH
Authorized Official - Prefix:
Authorized Official - First Name:WILFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-840-2150
Mailing Address - Street 1:934 AVE PONCE DE LEON
Mailing Address - Street 2:PONCE,P.R.
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728-3814
Mailing Address - Country:US
Mailing Address - Phone:787-840-2150
Mailing Address - Fax:787-259-2248
Practice Address - Street 1:934 AVE PONCE DE LEON
Practice Address - Street 2:PONCE,P.R.
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728-3814
Practice Address - Country:US
Practice Address - Phone:787-840-2150
Practice Address - Fax:787-259-2248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17493336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR3871050001Medicare ID - Type Unspecified