Provider Demographics
NPI:1023173218
Name:FARMACIA LA NUEVA BARCELONETA INC.
Entity type:Organization
Organization Name:FARMACIA LA NUEVA BARCELONETA INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGISTER PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-970-3542
Mailing Address - Street 1:PO BOX 2054
Mailing Address - Street 2:
Mailing Address - City:BARCELONETA
Mailing Address - State:PR
Mailing Address - Zip Code:00617-2054
Mailing Address - Country:US
Mailing Address - Phone:787-970-3542
Mailing Address - Fax:
Practice Address - Street 1:5 CARR 140 # KM
Practice Address - Street 2:BO FLORIDA AFUERA, LLANADAS
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617-2806
Practice Address - Country:US
Practice Address - Phone:787-970-3542
Practice Address - Fax:787-970-0839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PR17F31633336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2087540OtherPK