Provider Demographics
NPI:1952693780
Name:FARMACIA TOA LINDA INC
Entity Type:Organization
Organization Name:FARMACIA TOA LINDA INC
Other - Org Name:FARMACIA TOA LINDA INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ISABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-730-2963
Mailing Address - Street 1:CALLE ARES C-6 VILLAS DE
Mailing Address - Street 2:BUENA VISTA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-485-0055
Mailing Address - Fax:
Practice Address - Street 1:CARR 861 RAMAL 820 BLOQ
Practice Address - Street 2:C-1 URB TOA LINDA
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953
Practice Address - Country:US
Practice Address - Phone:787-799-2362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13F29423336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4027771OtherNCPDP PROVIDER IDENTIFICATION NUMBER