Provider Demographics
NPI:1487790473
Name:FARMACIA SALCEDO
Entity type:Organization
Organization Name:FARMACIA SALCEDO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:N
Authorized Official - Last Name:LEBRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-826-4145
Mailing Address - Street 1:FARMACIA SALCEDO
Mailing Address - Street 2:P.O. BOX 175
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610-0175
Mailing Address - Country:US
Mailing Address - Phone:787-826-4145
Mailing Address - Fax:787-826-4145
Practice Address - Street 1:65 DE INFANTERIA
Practice Address - Street 2:PLAZA SALCEDO
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610-0175
Practice Address - Country:US
Practice Address - Phone:787-826-4145
Practice Address - Fax:787-826-4145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR40237113336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy