Provider Demographics
NPI:1740336593
Name:FARMACIA BORIKEN
Entity type:Organization
Organization Name:FARMACIA BORIKEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PHARMACIST AND OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LUGO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:787-820-2148
Mailing Address - Street 1:HC 6 BOX 61400
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-9022
Mailing Address - Country:US
Mailing Address - Phone:787-820-2148
Mailing Address - Fax:787-820-8181
Practice Address - Street 1:ROAD 119 KM 9.0
Practice Address - Street 2:BO. CIENAGAS
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627
Practice Address - Country:US
Practice Address - Phone:787-820-2148
Practice Address - Fax:787-820-8181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07-F22813336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4020917OtherNCDCP