Provider Demographics
NPI:1144077330
Name:FARMACIA MENAA,LLC
Entity type:Organization
Organization Name:FARMACIA MENAA,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:LAUREANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-324-7303
Mailing Address - Street 1:271 AVE BARBOSA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-3310
Mailing Address - Country:US
Mailing Address - Phone:787-753-7356
Mailing Address - Fax:787-296-2345
Practice Address - Street 1:271 AVE BARBOSA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-3310
Practice Address - Country:US
Practice Address - Phone:787-753-7356
Practice Address - Fax:787-296-2345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-04
Last Update Date:2024-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy