Provider Demographics
NPI:1942322573
Name:FARMACIA EL COMBATE INC
Entity Type:Organization
Organization Name:FARMACIA EL COMBATE INC
Other - Org Name:FARMACIA EL COMBATE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:JIMENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-851-8120
Mailing Address - Street 1:PO BOX 1291
Mailing Address - Street 2:
Mailing Address - City:BOQUERON
Mailing Address - State:PR
Mailing Address - Zip Code:00622-1291
Mailing Address - Country:US
Mailing Address - Phone:787-851-8123
Mailing Address - Fax:787-851-8129
Practice Address - Street 1:CARR 3301 KM 2.0
Practice Address - Street 2:SECTOR EL COMBATE
Practice Address - City:BOQUERON
Practice Address - State:PR
Practice Address - Zip Code:00622
Practice Address - Country:US
Practice Address - Phone:787-851-8123
Practice Address - Fax:787-851-8129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PR18-F-26733336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2087329OtherPK