Provider Demographics
NPI:1811147424
Name:FARMACIA SANDUT
Entity type:Organization
Organization Name:FARMACIA SANDUT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUXILIAR DE FARMACIA
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:QUILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-450-0672
Mailing Address - Street 1:HC 5 BOX 36735 BRISAS DEL RIO SONADOR
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00685
Mailing Address - Country:UM
Mailing Address - Phone:787-450-0672
Mailing Address - Fax:
Practice Address - Street 1:CALLE ZUSURREAGUI ESQUINA 1 ABRIL
Practice Address - Street 2:
Practice Address - City:MARICAO
Practice Address - State:PR
Practice Address - Zip Code:00606
Practice Address - Country:US
Practice Address - Phone:787-450-0672
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy