Provider Demographics
NPI:1992850176
Name:FARMACIAS MARILYN
Entity Type:Organization
Organization Name:FARMACIAS MARILYN
Other - Org Name:FARMACIAS MARILYN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:787-824-2617
Mailing Address - Street 1:PO BOX 3030
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-3030
Mailing Address - Country:US
Mailing Address - Phone:787-824-2617
Mailing Address - Fax:787-853-0436
Practice Address - Street 1:CALLE SANTA ANA 233A
Practice Address - Street 2:BO.COCO
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00751
Practice Address - Country:US
Practice Address - Phone:787-824-2617
Practice Address - Fax:787-824-2800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR08-F-2245333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy