1538299672 NPI number — FARMACIA SENORIAL

Table of content: (NPI 1538299672)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538299672 NPI number — FARMACIA SENORIAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FARMACIA SENORIAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538299672
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/05/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
AVE WINSTON CHURCHILL
Provider Second Line Business Mailing Address:
124 URB CROWN HILL
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00926
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-751-0211
Provider Business Mailing Address Fax Number:
787-763-0367

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
AVE WINSTON CHURCHILL
Provider Second Line Business Practice Location Address:
124 URB CROWN HILL
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00926
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-751-0211
Provider Business Practice Location Address Fax Number:
787-763-0367
Provider Enumeration Date:
03/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PIEDRAHITA
Authorized Official First Name:
ANA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
787-757-0211

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  07F1978 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 4024422 . This is a "NABP" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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