Provider Demographics
NPI:1942216734
Name:SUPER FARMACIA RINA INC
Entity Type:Organization
Organization Name:SUPER FARMACIA RINA INC
Other - Org Name:SUPER FARMACIA RINA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARM D
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:R
Authorized Official - Last Name:SUED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-864-3069
Mailing Address - Street 1:PO BOX 2970
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-2970
Mailing Address - Country:US
Mailing Address - Phone:787-864-0855
Mailing Address - Fax:787-866-6323
Practice Address - Street 1:CALLE MC ARTHUR ESQ DERKES
Practice Address - Street 2:
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784-0000
Practice Address - Country:US
Practice Address - Phone:787-864-3069
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18-F-3420333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy