Provider Demographics
NPI:1023768462
Name:FARMACIA LUVAMAR EXPRESS, LLC
Entity type:Organization
Organization Name:FARMACIA LUVAMAR EXPRESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:TUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-826-2545
Mailing Address - Street 1:PO BOX 518
Mailing Address - Street 2:
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610-0518
Mailing Address - Country:US
Mailing Address - Phone:787-826-2545
Mailing Address - Fax:787-826-4022
Practice Address - Street 1:#67 CALLE 65 DE INFANTERIA
Practice Address - Street 2:
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610
Practice Address - Country:US
Practice Address - Phone:787-826-2545
Practice Address - Fax:787-826-4022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy