Provider Demographics
NPI:1649314238
Name:FARMACIA LA VEGA, INC.
Entity type:Organization
Organization Name:FARMACIA LA VEGA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAGDA
Authorized Official - Middle Name:I
Authorized Official - Last Name:ECHEVARRIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-847-5309
Mailing Address - Street 1:PO BOX 1507
Mailing Address - Street 2:
Mailing Address - City:VILLALBA
Mailing Address - State:PR
Mailing Address - Zip Code:00766-1507
Mailing Address - Country:US
Mailing Address - Phone:787-847-5309
Mailing Address - Fax:787-847-5307
Practice Address - Street 1:CALLE PRINCIPAL #425-II
Practice Address - Street 2:URB. LA VEGA
Practice Address - City:VILLALBA
Practice Address - State:PR
Practice Address - Zip Code:00766
Practice Address - Country:US
Practice Address - Phone:787-847-5309
Practice Address - Fax:787-847-5307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy