Provider Demographics
NPI:1750726402
Name:FARMACIA TU CONFIANZA INC
Entity type:Organization
Organization Name:FARMACIA TU CONFIANZA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ELEIDA
Authorized Official - Middle Name:GALLOZA
Authorized Official - Last Name:ACEVEDO
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:787-212-3491
Mailing Address - Street 1:ROAD 2 KM 136.5 BO NARANJO
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ROAD 2 KM 136.9 , BO NARANJO
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00602
Practice Address - Country:UM
Practice Address - Phone:787-212-3491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-08
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy