Provider Demographics
NPI:1891197497
Name:DELAMAR INC
Entity Type:Organization
Organization Name:DELAMAR INC
Other - Org Name:FARMACIA MONARCA
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DELVIS
Authorized Official - Middle Name:JOSUE
Authorized Official - Last Name:COLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:939-292-2862
Mailing Address - Street 1:421 CALLE TULANE
Mailing Address - Street 2:ESTANCIAS DE TORTUGUERO
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693
Mailing Address - Country:US
Mailing Address - Phone:787-616-7845
Mailing Address - Fax:787-369-6767
Practice Address - Street 1:CARR PR-160 KM 4.4
Practice Address - Street 2:BO ALMIRANTE NORTE
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693
Practice Address - Country:US
Practice Address - Phone:787-369-6868
Practice Address - Fax:787-369-6767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-25
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy