Provider Demographics
NPI:1831273184
Name:FARMASALUD LLC
Entity type:Organization
Organization Name:FARMASALUD LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:787-226-5970
Mailing Address - Street 1:PO BOX 1712
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676
Mailing Address - Country:US
Mailing Address - Phone:787-877-3448
Mailing Address - Fax:787-877-3448
Practice Address - Street 1:CARR 444 KM 0.7
Practice Address - Street 2:BARRIO CUCHILLAS
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676-0598
Practice Address - Country:US
Practice Address - Phone:787-877-3448
Practice Address - Fax:787-877-3448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR09-F-21313336C0003X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy