Provider Demographics
NPI:1891909065
Name:FARMACIA SANTA ANA
Entity Type:Organization
Organization Name:FARMACIA SANTA ANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:A
Authorized Official - Last Name:CINTRON
Authorized Official - Suffix:
Authorized Official - Credentials:LCDO
Authorized Official - Phone:787-861-3420
Mailing Address - Street 1:39 CALLE MUNOZ RIVERA
Mailing Address - Street 2:
Mailing Address - City:MAUNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00707-2146
Mailing Address - Country:US
Mailing Address - Phone:787-861-1643
Mailing Address - Fax:787-861-3420
Practice Address - Street 1:39 CALLE MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:MAUNABO
Practice Address - State:PR
Practice Address - Zip Code:00707-2146
Practice Address - Country:US
Practice Address - Phone:787-861-1643
Practice Address - Fax:787-861-3420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR06-F-0287183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty