Provider Demographics
NPI:1013055524
Name:FARMACIA CORTES
Entity type:Organization
Organization Name:FARMACIA CORTES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:PACHECO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:787-854-2678
Mailing Address - Street 1:CORDOVA DAVILA 156
Mailing Address - Street 2:CENTRO COMERCIAL CORTES
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674
Mailing Address - Country:US
Mailing Address - Phone:787-854-2678
Mailing Address - Fax:787-884-2228
Practice Address - Street 1:CORDOVA DAVILA 156
Practice Address - Street 2:CENTRO COMERCIAL CORTES
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-854-2678
Practice Address - Fax:787-884-2228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07F06533336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy