Provider Demographics
NPI:1851442750
Name:FARMACIA KIARA CRL
Entity Type:Organization
Organization Name:FARMACIA KIARA CRL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:SEGARRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-260-0077
Mailing Address - Street 1:1722 CALLE LLANURA
Mailing Address - Street 2:VALLE ALTO
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730-4137
Mailing Address - Country:US
Mailing Address - Phone:787-260-0077
Mailing Address - Fax:787-837-2299
Practice Address - Street 1:CARR 149 RAMAL 1 BO. CAPITANEJO
Practice Address - Street 2:SECTOR PASTILLO
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795
Practice Address - Country:US
Practice Address - Phone:787-260-0077
Practice Address - Fax:787-837-2299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy