Provider Demographics
NPI:1932205135
Name:FARMACIA OFELIA, INC.
Entity Type:Organization
Organization Name:FARMACIA OFELIA, INC.
Other - Org Name:FARMACIA OFELIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:ROBERTO
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CHEMIST
Authorized Official - Phone:787-867-3976
Mailing Address - Street 1:PO BOX 152
Mailing Address - Street 2:
Mailing Address - City:OROCOVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00720-0152
Mailing Address - Country:US
Mailing Address - Phone:787-867-2820
Mailing Address - Fax:787-867-2820
Practice Address - Street 1:6 CALLE PEDRO ARROYO
Practice Address - Street 2:
Practice Address - City:OROCOVIS
Practice Address - State:PR
Practice Address - Zip Code:00720-4422
Practice Address - Country:US
Practice Address - Phone:787-867-2820
Practice Address - Fax:787-867-2820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07-F-20933336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy